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MES > Amputation > Flashcards

Amputation Flashcards

1
Q

surgical removal of all or part of a limb

A

Amputation

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2
Q

amputation at the level of the joint; pediatric patients

A

Disarticulation

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3
Q

amputation due to poor blood supply

A

Dysvacularization

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4
Q

born with congenital limb deficiency

A

Congenital Limb Difference

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5
Q

Residual limb AKA

A

Stump

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6
Q

subcutaneous tissue used to cover the distal end bone

A

Flap

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7
Q

clinical trimester for limb formation

A

1st trimester

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8
Q

Causes of Congenital Limb Deficiency

A

Teratogen agents
Amniotic band syndrome
Rare hereditary implications

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9
Q

complete missing of the limb after a certain point

A

Transverse Deficiency

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10
Q

Transverse Deficiency AKA

A

Terminal Deficiency

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11
Q

specific part of the limb is missing

A

Longitudinal Deficiency

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12
Q

Longitudinal Deficiency AKA

A

Intercalary Deficiency

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13
Q

Radial Ray Anomaly I

A

slightly short radius

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14
Q

Radial Ray Anomaly II

A

very short radius; ulna moves sideways

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15
Q

Radial Ray Anomaly III

A

partial missing radius

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16
Q

Radial Ray Anomaly IV

A

complete missing of radius

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17
Q

complete absence of the limb

A

Amelia

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18
Q

partial absence of the limb

A

Meromelia

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19
Q

flipper like appendage

A

Phocomelia

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20
Q

missing metacarpal/metatarsal

A

Adactyl

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21
Q

half of the limb is missing

A

Hemimelia

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22
Q

missing fingers/toes

A

Aphalangia

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23
Q

missing hand/foot

A

Acheiria

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24
Q

Causes of Acquired Pediatric Amputation

A

MVA
Electric burn
Thermal burn
Explosion (MC)
Recreation

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25
Q

Causes of UE Amputation

A

Trauma (MC)
Tumor
Infection

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26
Q

Partial Hand Amputation

A

Transphalangeal
Transmetacarpal
Transcarpal
Wrist Disarticulation

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27
Q

Resection of Transphalangeal

A

proximal/middle/distal phalanx

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28
Q

Prosthesis for Transphalangeal

A

Custom finger

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29
Q

Resection of Transmetacarpal

A

Distal & Proximal Metacarpal

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30
Q

Prosthesis for Distal Transmetacarpal

A

Custom hand (stainless)

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31
Q

Prosthesis for Proximal Transmetacarpal

A

Specialized terminal device/Hook

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32
Q

Resection of Transcarpal

A

carpal bones

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33
Q

Spared in Transcarpal

A

wrist flexion, extension
pronation-supination

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34
Q

Spared in Wrist Disarticulation

A

pronation-supination
TFCC

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35
Q

Radial Amputation of Digits (Resection & Compromised)

A

Resection: thumb and index finger
Compromised: palmar grasp

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36
Q

Ulnar Amputation of Digits (Resection & Compromised)

A

Resection: 4th and 5th finger
Compromised: hook grasp

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37
Q

most functional and common amputation

A

Finger tip

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38
Q

Central Amputation (Removal)

A

3rd and 4th finger

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39
Q

Thumb Amputation (Compromised)

A

Lateral prehension
Pinch grip
Power and Palmar grasp

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40
Q

MC UE Amputation with the exception of Fingertip

A

Transradial (Below Elbow) Amputation

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41
Q

Long Transradial

A

55-90%

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42
Q

motions available in long transradial

A

60-120 pronation and supination
strong elbow flexion

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43
Q

motions available in short transradial

A

60 pronation and supination
decreased elbow flexion

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44
Q

Short Transradial

A

35-55%

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45
Q

Very Short Transradial

A

<55%

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46
Q

Socket for Long & Short Transradial

A

Dual-Walled

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47
Q

Socket for Very short Transradial

A

Muenster

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48
Q

Harness for Transradial

A

Figure of 8

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49
Q

Elbow unit for Transradial

A

Polycentric elbow unit

50
Q

Control cable system for Transradial

A

Single control cable

51
Q

Friction for Transradial

A

Constant wrist friction unit

52
Q

Terminal Device for Transradial

A

Active Terminal Device: 5xa

53
Q

Elbow Disarticulation

A

90-100%

54
Q

Standard Transhumeral

A

50-90%

55
Q

Short Transhumeral

A

30-50%

56
Q

Humeral Neck Amputation

A

<30%

57
Q

Socket for Short & Standard Transhumeral

A

Dual-Walled extending beyond the acromion process

58
Q

Socket for Humeral Neck

A

Dual-Walled extending above the acromion process

59
Q

Socket for Elbow Disarticulation

A

Broad & Flat

60
Q

Suspension for Elbow Disarticulation

A

Self-suspending

61
Q

Shoulder Disarticulation (Spared)

A

Humeral head
Glenoid fossa
Deltoid (Padding & covering)

62
Q

Forequarter Amputation (Removal)

A

UE limb
Clavicle
Scapula

63
Q

Indication of Shoulder Disart. & Forequarter Amputation

A

Tumor

64
Q

3rd MC site of Osteosarcoma

A

Proximal Humerus

65
Q

MC site for Ewing & Chondrosarcoma

A

Scapula

66
Q

Prosthesis for Shoulder Disart. & Forequarter Amputation

A

Extends onto the thorax
(+) Chest strap

67
Q

Causes of LE Amputation

A

Peripheral Arterial Disease (MC)
Trauma
Tumor
Infection

68
Q

MC Amputation secondary to poor vascular supply

A

Toe Amputation

69
Q

Fxnl limitation in Big Toe Amputation

A

Walking: standing difficulty
Running: limping appearance

70
Q

Deformity in 2nd toe Amputation

A

Hallux Valgus

71
Q

Prosthesis for 2nd toe amputation

A

Toe fillers

72
Q

MC Ray Amputation

A

5th ray

73
Q

Ray amputation (resection and spared)

A

Resection: MTT and phalanges
Spared: Base of metatarsal

74
Q

Orthosis for Ray amputation

A

Rockerbottom
Carbon foot plate

75
Q

Transmetatarsal (resection and spared)

A

Resection: metatarsal/forefoot
Spared: base of MTT

76
Q

Lisfranc (resection)

A

Resection: MTT + Phalanges + Base of MTT

77
Q

Lisfranc

A

Tarsometatarsal

78
Q

Deformity in Lisfranc

A

Pes Equinovarus

79
Q

Prosthesis for Lisfranc

A

AFO (active patients)
Carbon foot plate with toe fillers

80
Q

MC level of amputation secondary to traumatic injury

A

Chopart/Transtarsal

81
Q

Chopart (resection and spared)

A

Resection: Tarsal bones
Spared: talus & calcaneus

82
Q

Deformity in Chopart

A

Pes Equinovarus

83
Q

Boyd

A

Talectomy + Calcaneotibial fusion + Forward translation of tibia

84
Q

Pirigoff

A

Talectomy + Calcaneotibial fusion + Forward and upward trans of calcaneus

85
Q

Symes

A

transection 1.3 cm above the malleoli

86
Q

Long Transtibial/BKA

A

> 50%

87
Q

Medium Transtibial/BKA

A

20-50%

88
Q

Short Transtibial/BKA

A

<20%

89
Q

self-suspending due to femoral epicondyles

A

Knee Disarticulation

90
Q

Long Transfemoral/Above Knee

A

> 60%

91
Q

Medium Transfemoral/Above Knee

A

35-60%

92
Q

Short Transfemoral/Above Knee

A

<35%

93
Q

femur is less than 5 cm

A

Hip Disarticulation

94
Q

Prosthesis for Hip Disarticulation

A

Canadian Hip Disarticulation

95
Q

Components of Canadian Hip Disarticulation

A

Socket: encompasses the hemipelvis
Shank: endoskeleton
Knee: constant friction
FAA: shank

96
Q

removal of half of the pelvis
will not require prosthesis for ambulation

A

Hemipelvectomy

97
Q

Prosthesis for Hemicorporectomy

A

Bucket-shaped

98
Q

Hemicorporectomy (removal)

A

LE limb
Pelvis
Transection at the lumbar spine
External genitalia

99
Q

Flap (Criteria)

A

Broad
Painless
Pliable

100
Q

equal length of anterior and posterior flap

A

Fishmouth

101
Q

Long Posterior Flap

A

Burgess
Bruckner

102
Q

Burgess (landmark)

A

Medial and lateral gastrocs

103
Q

Bruckner (landmark)

A

Medial gastrocs

104
Q

attachment of muscle to bone

A

Myodesis

105
Q

attachment of muscle to muscle

A

Myoplasty

106
Q

Stump (Criteria)

A

Painless
Healed and matured
Prosthetically ready

107
Q

Prevents edema formation

A

Shrinkage
- Bandage (least effective)
- Juzo Compression Garment

108
Q

Care Pathway LE Amputation Day 1

A

In-Bed

Respiratory care
Pain control exercise
Joint ROM

109
Q

Care Pathway LE Amputation Day 2

A

Sit out in Chair

ROM
Strengthening (limbs and trunk)
Balance training
Transfer practice & W/C provision
Edema control

110
Q

Care Pathway LE Amputation Day 3

A

Independence

Continue ROM, Strengthening, Balance exercise
Pain and edema control
Functional exercise (bridging, personal care, standing, w/c supported)
Postural correction

111
Q

Care Pathway LE Amputation Day 4-7

A

Discharge Planning

Plan home visit with OT
Monitor edema control
Continue exercise program and mobility
Ensure appropriate clothing for rehab

112
Q

Care Pathway LE Amputation Day 7-14

A

Prosthetic Assessment

Attend gym environment
Individual and group exercise session
Assessment and practice early walking aids
Prepare for prosthetic rehab (stump, shape, proprioception, strength)

113
Q

Care Pathway LE Amputation Day 14-28

A

Develop Appropriate Plan

Progress rehab program

114
Q

Care Pathway LE Amputation Week 4-6

A

Outpatient/Community

Cast/Prosthesis
Start prosthetic training
Ensure re-integration into home environment

115
Q

Transtibial contracture

A

Knee flexion

116
Q

Transfemoral contracture

A

Hip flexion and abduction

117
Q

Phantom Pain

A

Burning
Crushing
Cramping
Dull aching
Electrical
Leg is being pulled off

118
Q

Phantom Sensation

A

Pressure
Itching
Coldness

119
Q

Residual Limb Pain

A

Joint, Muscle, Bone pain
Neuroma

120
Q

Dressing for easy wound inspection

A

Soft Dressing

121
Q

Dressing that promotes knee extension

A

Rigid Dressing

122
Q

Dressing for early gait training

A

IPOP (Immediate Post-op Prosthesis)

MES (7 decks)

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