Amputations About the Shoulder: Prosthetic Management

by Arm Dynamics, on Jan 1, 2009 12:00:00 AM

(This article originally appeared in Chapter 21 of the Atlas of Amputations and Limb Deficiencies: Surgical, Prosthetic, and Rehabilitation Principles 3rd edition

The prosthetic rehabilitation of an individual with a humeral neck, glenohumeral, or interscapulothoracic level of absence has traditionally been a significant challenge to the rehabilitation team, often resulting in poor success rates. Each of these levels is anatomically unique, but the overall approach to the prosthetic management is similar (Figure 1). This chapter describes the three phases of prosthetic management that are critical to long-term prosthesis use and patient satisfaction: (1) the preprosthetic phase, during which the prosthetic rehabilitation plan is formulated; (2) the interim phase, during which the diagnostic prosthesis, which evolves into the definitive prosthesis, is created; and (3) the postprosthetic phase, during which the focus is on prosthetic refinement and training. The systematic method of care described in this chapter can maximize the patient’s

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