Flashcards in UE Amputation Deck (15)
How much %age of forearm is kept in a very short, short and long transradial amputation?
Very short = <35%
Short = 35-55%
Long = 55-90%
What structure needs to be maintained in wrist disarticulation to preserve supination and pronation
Distal Radioulnar joint
3 levels of transhumeral amputation
1. Humeral neck = <30%
2. Short = 30-50%
Standard = 50-90%
What is prehension
Ability to hold or grasp something
What are 3 advantages of doing an elbow disarticulation instead of transhumeral?
1. No risk of bone spur or HO at the elbow disarticulation level
2. Improved prosthetic suspension
3. Allows for greater lifting, pulling, and pushing
In a transhumeral amputation with residual limb >35%, what 2 suspension systems are used to attach the socket?
Figure-8 OR shoulder saddle and chest strap
Amputation of the hand is considered if...
Irreparable damage occurs to 4/6: skin, blood, bone, nerve, flexors, extensors. It is then considered a "mangled" hand.
What is a forequarter amputation
Removal of arm, scapula and part of clavicle
Transhumeral residual limbs shorter than _____% will be fitted as a shoulder disarticulation
When doing a transhumeral amputation, how many cm above the elbow does the amputation have to be
>6.5cm above the elbow
Most common level of amputation in the upper extremity
What muscle do you want to preserve in a transradial amputation if you want to keep good elbow flexion?
A transradial residual limb length of ____% to ____% is preferred when optimal externally powered prosthetic restoration is goal
If cosmesis is of importance to an amputee with a wrist disarticuation, what kind of amputation would be more appropriate?
Long, below-elbow amputation