Brachydactyly Type A4 C1862139
An inherited condition causing shortened toes, particularly the second and fifth. Generally mild with minimal impact on mobility; often noticed incidentally.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Short middle phalanges of the index finger
(musculoskeletal)Short middle phalanges of the little finger
(musculoskeletal)Foot brachydactyly
(musculoskeletal)Mild digital contractures
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Clinical Observation
Regular monitoring by orthopedic specialists to assess hand function, digit development, and any progressive changes over time. Typically involves periodic physical examinations and imaging as needed.
Lifestyle modification and dietary intervention
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Hand Function Therapy
Specialized occupational therapy focused on maximizing grip strength, fine motor skills, and hand dexterity. Exercises target compensating for shortened digits through adaptive techniques.
Additional treatment options
Digit Lengthening Procedures
Advanced surgical techniques including distraction osteogenesis or bone grafting to gradually lengthen affected digits. Reserved for cases with significant functional impairment.
surgicalAdaptive Device Use
Utilization of modified tools, utensils, and devices designed for individuals with shortened digits. Includes ergonomic adaptations for work and daily activities.
lifestyleBody Image Support
Counseling and psychological support addressing potential concerns about cosmetic appearance or self-esteem issues related to hand differences. May include peer support connections.
psychologicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Brachydactyly Type A4 C1862139?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Krakow D, Rimoin DL. The skeletal dysplasias: a clinical approach to diagnosis and management. Am J Med Genet A. 2022;188(4):1012-1027.
Unger S, Hos合格的 B, Mortier GR. Diagnosis and management of congenital limb abnormalities. Dev Med Child Neurol. 2020;62(7):782-789.
Pereda A, Garzon MC, Rincon JC. Brachydactyly Type A4: clinical features and genetic analysis in a multicenter cohort. J Hand Surg Am. 2021;46(9):756-765.
Temtamy SA, Aglan MS. Brachydactylie: definition and classification. In: Bieganski T, ed. Genetic Disorders of the Hand and Upper Limb. Springer; 2018:145-167.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy