Longitudinal reduction defect of radius, bilateral
ICD-10 Q71.43 is a billable code used to indicate a diagnosis of longitudinal reduction defect of radius, bilateral.
Longitudinal reduction defect of the radius is a congenital malformation characterized by the underdevelopment or absence of the radius bone in the forearm. When bilateral, both arms are affected, leading to significant functional limitations and potential deformities. This condition can result from genetic factors, environmental influences, or a combination of both during fetal development. Clinically, patients may present with shortened forearms, limited range of motion, and associated deformities such as ulnar deviation. The condition may also be part of a syndrome involving other congenital anomalies, necessitating a comprehensive evaluation. Early diagnosis and intervention are crucial for optimizing functional outcomes, which may include surgical correction, physical therapy, and adaptive devices. Understanding the etiology and associated conditions is essential for effective management and coding.
Detailed growth and developmental assessments, functional evaluations, and family history.
Assessment of a newborn with bilateral forearm shortening, referral for orthopedic evaluation, and planning for surgical intervention.
Consideration of psychosocial impacts on the child and family, as well as the need for ongoing follow-up.
Genetic testing results, family pedigree, and assessment for syndromic associations.
Genetic counseling for families with a history of limb reduction defects and evaluation for potential syndromes.
Understanding the genetic basis of the condition and implications for family planning.
Used in surgical correction of radius defects.
Surgical notes detailing the procedure and indications.
Orthopedic specialists should document the rationale for surgery and expected outcomes.
Treatment often involves a multidisciplinary approach, including orthopedic surgery for correction, physical therapy for rehabilitation, and possibly occupational therapy to assist with daily activities. Early intervention is key to improving functional outcomes.
