UPPER LIMB AMPUTATION-TRANSHUMERAL (ABOVE ELBOW)

SUMMARY

1. Longer residual limb length (up to 90% of humeral length) will give best control and function with a prosthesis.

2. The three amputation levels in most cases require similar prosthetic components, which can be externally powered, body powered, passive, or have a combination of these.

3. In above-elbow amputations with residual limb lengths >35%, usually the proximal trim line of the socket extends to within 1 cm of the acromion, and the socket is suspended by either a figure-8 or shoulder saddle and chest strap suspension system.

4. Residual limbs shorter than 30% will be fitted as a shoulder disarticulation.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.