Looking to correct Arm Length Discrepancy with Limb Lengthening surgery

I’m a 22-year-old male residing in the USA. Let me begin with some background information that may be helpful. This segment pertains to the cause of the difference and a prior surgery on my right shoulder that is linked to it. The length of my right arm is roughly two inches/5.08 cm shorter than my left arm, with a slight variation. I first observed this when I was around 13 years old in 2014, so the exact onset of this difference is unknown. Upon noticing it, I informed my parents, initiating a year-long process of visiting multiple doctors and eventually being referred to an orthopedic surgeon. I underwent several months of sessions with the surgeon. The primary concern at that time was my limited range of motion on my right arm, limiting me to only raising my humorous to a perpendicular position relative to my body. This restricted mobility could be classified as a disability. In December 2015, I underwent surgery to address this issue after numerous x-ray sessions and tests to diagnose the problem. It was discovered that half of the growth plate in my right shoulder had “died,” while the other half was still functioning and attempting normal growth. The compromised growth plate led to the bone growing incorrectly, forming a bone “shelf” around my shoulder, hindering full rotation and consequently stunting the arm’s growth. In contrast, my left arm and shoulder developed without any issues. During the surgery, the surgeons removed this bone shelf and another unidentified tissue mass. The exact cause of the partial growth plate deterioration remains unknown. Following the surgery, I regained most of my range of motion, and the alignment of muscles and bones on my right side improved.

Despite the success of the surgery, my shorter right arm remained a concern. When I inquired about LL to equalize the arm lengths, the doctor dismissed it as an unnecessary cosmetic procedure. I was disappointed by their lack of concern, but I chose not to pursue the matter further. Presently, I am seriously contemplating LL more than ever to address the discrepancy. I have extensively researched LL, primarily focused on cosmetic stature lengthening and leg length inequality correction. Information on arm LL or arm length disproportion is scarce, given its rarity compared to LLD. My arm length disproportion presents various challenges, ranging from minor inconveniences like difficulty resting my elbows on tables to more significant issues such as unsafe workouts (my attempts at exercise did not go smoothly) and occasional struggles in reaching tasks at my job (I will elaborate on this later). Furthermore, this condition significantly impacts my self-esteem. Observing it in the mirror serves as a constant reminder of my perceived failure. Obtaining LL for my arm is aimed at alleviating these challenges.

This is where I seek your assistance. While I have a general understanding of LL from the abundant information available, most of which pertains to leg procedures, I am hopeful that someone here can provide guidance on arm LL due to the limited resources on this topic. I will address my primary concerns.

I am curious about the expected recovery period. My full-time job demands physical activity involving walking, reaching, lifting, bending, and other strenuous actions. If I undergo this surgery, I may need to take time off work. How does the recovery process differ between arm LL and leg LL? Is the recovery period shorter, and can I bear some weight on the arm during recovery?

Is arm LL more cost-effective than leg LL, especially considering it involves a single arm with one device? I am considering the utilization of the internal Stryde nail device on my Humerus. Regarding costs, I am open to exploring options abroad if a competent doctor can be found, potentially resulting in cost savings of thousands of dollars.

Who are the leading specialists in arm LL? While I am familiar with LL practitioners in general, identifying the most suitable option for arm LL is crucial.

During the initial surgery, a metal plate with approximately seven screws was attached to my shoulder area and part of the upper humerus to stabilize critical bones. This plate remains in my arm to date. Could this pose any complications for undergoing LL? I am concerned about potential additional expenses and delays due to this preexisting hardware.

Would insurance provide coverage for this procedure? I believe it can be argued as a functional necessity rather than a cosmetic enhancement, given my limb length inequality and associated challenges. I would prefer partial coverage by insurance instead of bearing the entire cost. To ascertain insurance coverage, I may need to inquire directly.

I attempted to include images, but encountered technical difficulties. I will respond to any comments as promptly as possible, though I have work commitments. Thank you, everyone.