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In the case of differences in length, many affected persons complain of tension in the spine during symmetry-emphasising activities, so that arm lengthening can provide pain relief and may well be medically indicated.","Text",[],[],{"_uid":321,"text":322,"component":317,"text_style":323,"component_style":324},"891321ab-d4c8-48d2-be94-6c16df048a89","## A short arm causes problems\n\nThe shortening of an upper arm leads to tension in the cervical vertebrae and shoulders, not only when working at the computer or driving a motor vehicle, but also during sporting activities such as cycling. In short-stature patients, too short arms can make elementary personal hygiene impossible and can also lead to severe disabilities in the daily environment. In many cases, the short arms only become noticeable after an operation to lengthen the legs for reasons of proportion, or they become more prominent functionally because the patient has then come a little closer to \"normality\".",[],[325],"lg:col-span-8",{"_uid":327,"image":328,"title":331,"component":332,"copyright":9,"image_style":333,"component_style":334},"4700649a-ee8f-4f31-93a9-05b34a9f64fb",{"id":329,"alt":96,"name":9,"focus":96,"title":96,"filename":330,"copyright":96,"fieldtype":11},2214010,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F900x1180\u002Fd7880ec50b\u002Fhumerus.png","FITBONE in the humerus","Image",[],[335,336],"lg:col-span-4","row-span-2",{"_uid":338,"text":339,"component":317,"text_style":340,"component_style":341},"ad855d43-3efa-4083-8d4d-3325d7f6ee84","## Fully implantable — also on the upper arm\n\nLengthening nails are also much more advantageous on the upper arm than external fixators. Whenever possible, ZEM-Germany gives preference to these systems because the treatment comfort is much higher and hardly any scars remain. External fixators need to be used only if the initial length is so short that even custom-made products cannot fit.",[],[325],{"_uid":343,"title":76,"stories":344,"component":354},"1c387d77-da4a-41c0-9fe8-cc8b8171bd32",[345],{"uuid":346,"full_slug":347,"content":348},"e34819ee-e18c-4e12-aaee-f710bf94cbba","en\u002Fcases\u002Fcongenital-arm-shortening",{"_uid":349,"_editable":-1,"image":350,"intro":353,"meta_title":272},"afeb174a-53c1-4757-838f-18a9d18869f2",{"id":351,"alt":9,"name":9,"focus":96,"title":9,"filename":352,"copyright":9,"fieldtype":11},1773633,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1796x3592\u002F55dd44f725\u002Fcase6_5.jpg","The 42-year-old patient had a congenital upper arm shortening of almost 14 cm.","Reference",{"id":356,"alt":96,"name":9,"focus":96,"title":96,"filename":357,"copyright":96,"fieldtype":11},2692146,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F6083x2600\u002F481d0fdda4\u002Ffitbone_humerus.png","If one arm is significantly shorter than the other, this often results in painful tension in the shoulder area or even functional disabilities. In short-stature patients, when both arms are too short, elementary personal hygiene is often more difficult. With motorized distraction nails, upper arms can be lengthened comfortably and painlessly — without any external fixators.","Page",[],[],"Arm shortening can lead to crooked posture on one side and elementary restrictions on both sides, e.g. in personal hygiene. 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