• Anu Radha Twayana, Neela Sunuwar, Sulav Deo, Sushil Rayamajhi, Ninda Tashi Tenzing Sherpa, and Firoz Anjum.
• Department of Medicine, Bhaktapur Hospital, Dudhpati, Bhaktapur, Nepal.
• JNMA J Nepal Med Assoc. 2022 Aug 1; 60 (252): 743746743-746.

UnlabelledCongenital upper limb deficiency care and management have undergone drastic changes over the past 50 years. Given the low incidence of this defect nationwide, this case report adds to the existing database to analyze the etiological investigations, descriptive epidemiology, and trend detection. We present a case of a 2-month-old male child with congenital upper limb deficiency and explore the possible etiologies and difficulties during early diagnosis of such rare disorders in a low and middle-income countrries and present implications at the primary health care level to improve the prognosis. Poor nutrition during pregnancy due to an unplanned pregnancy is a possible cause. The prognosis is unfavourable due to sociocultural barriers. To address these limitations, it is pertinent to address disability-adequate knowledge among communities, promote early diagnosis, and timely rehabilitation using a multidisciplinary approach. Further, we provide a framework to optimize care.Keywordscongenital limb deficiency; prevalence; upper limb defect.

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