WK1: UL Amputation Principles, Statistics, and Terminology

Question 1

What is the common etiology for UL amputation?

Key ULP Principles

Answer 1

traumatic

different than lower limb which is disease

Question 2

What is the most common level for UL amputaion?

Key ULP Principles

Answer 2

Partial Hand

~50% of al UL abscences in USA

Question 3

Unilateral Functions ULP

Key ULP Principles

Answer 3

• Portable Vise
• hold paper in place
• leaves a lot of latitude in pt
• not always essential to use px

Question 4

Bilateral Functions ULP

Key ULP Principles

Answer 4

• Survival Tool
• allow independence
• perform ADLs
• Functional failure is a big deal

Question 5

Multiple Terminal TD/px

Key ULP Principles

Answer 5

• improve ADL capability
• secondary option that allows more independence during specific tasks

Question 6

T/F

Aggressive, early rehab is helpful

Key ULP Principles

Answer 6

True

Question 7

Why are long term rejection rates high

Key ULP Princples

Answer 7

• with time, enthousim for px decreases
• pt find ways to accomplish goals without px

Question 8

Prevalence

Upper Limb Amputation

Answer 8

• Estimated inc due to population growth (1.9m in 2005, 2.6m by 2050)
• 1:200 people in US = .5% prevalence of people with major limb amputation

Question 9

Etiology

Upper Limb Amputation

Answer 9

• Trauma accounts for 63% of ULA
• Dysvasualar accounts for 82% of ULA and LLA annually and is increasing

Question 10

Incidence

Upper Limb Amputation

Answer 10

• emergency room amputations = 10/100k
• fingers account for 91% of ER amps

Question 11

Incidence, US military

Upper Limb Amputation

Answer 11

• 2,200 major limb amputation in past decade due to OIF/OEF conflicts
• 18% were upper limb amputations
• 50% TR; 10% WD

Question 12

Congenital Deficiency

Upper Limb Congenital Malformation

Answer 12

• cause often unknown
• most occur first trimester
• drug usage
• environmental toxins
• genetic defects
• trauma
• poor maternal health

Question 13

Transverse Deficiency

ISO Terminiology

Answer 13

• does not include distal segments
• defined by last remaining segment, total or partial

Question 14

Longitudinal Deficiency

ISO Terminology

Answer 14

• May be total or partial
• may include intact distal segments
• ex. total radius, partial carpus