Ch. 6 UE Prosthetics Flashcards
What are causes of UE amputation?
- Congenital disorder
- Trauma
- Tumor
Is scar placement during surgery important for UE amputation?
No, unlike LE scar placement is not critical as there is little weight bearing pressure placed on the limb and few bony concerns
There is a possibility of what developing after surgery of UE amputation?
Neuromas (benign growth of nerve tissue)
What is the residual limb of an UE amputation placed in post surgery?
Rigid dressing to prevent edema
What are the various levels of UE amputation?
- Wrist disarticulation
- Forearm
- Elbow disarticulation
- Above elbow
With a forearm UE amputation, what should we keep in mind?
- As distal as possible
2. Lose pro/supination so there is no rotation in the socket
With an elbow disarticulation, what should we keep in mind?
Difficult prosthetic fitting
With an above elbow amputation, what should we keep in mind?
- As distal as possible
2. Leaving sufficient padding on anterior humerus is important
What length is the prosthesis made compared to the anatomic limb?
Slightly shorter
What are the important bony landmarks which much be considered when fitting the patient with a harness body-powered prosthesis?
- C7 - harness ring must sit below or it will place excessive pressure on cervical spine
- Clavicle - harness passes over the clavicle which may cause breakdown
- Acromion process - to measure length
- Scapula - need max mobility to assist with mechanics
T/F The below elbow harness system is both operational and secure suspension
True
What is the purpose of the anterior strap for a below elbow harness system?
Resists downward translation or slippage
Shoulder flexion with a below elbow harness system does what?
Tightens cable and opens terminal device
Shoulder extension with a below elbow harness system does what?
Lessen tension on cable and close the terminal device
Shoulder abduction with a below elbow harness system does what?
Help augment tension on cable to open the terminal device further