This document provides information about upper limb amputation from the perspective of an intern prosthetics and orthotics student. It includes sections on the objectives, assessments, diagnosis, rehabilitation goals, manufacturing procedure, and fitting outcomes for an upper limb amputation patient. Details are given on the levels of upper limb amputation including forequarter, transhumeral, transradial, and various disarticulations and hand amputations. Causes of amputation like trauma, disease, and congenital limb deficiencies are also outlined.

1. Bangladesh Health Professions Institute
(BHPI-CRP)
Presented By-
MD.Nayeem Hasan
School of Prosthetics and Orthotics
Intern Prosthetics and Orthotics Student
Upper limb Amputation

2. Content
 Objective
 Assessments
 Diagnosis
 Functional loss
 Rehabilitation goals
 Prescription
 Manufacture procedure
 Fitting outcome and
achieved goals
 Non-achieved goals
 Where I should improve
 Overall satisfaction
 Instruction to the patient

3. Objectives
 History of amputation
 Shortly know the patients information related
to the Prosthetic treatment including some
personal info..
 Understand the fabrication procedure.

4. History of Amputation
 The word amputation is derived from the Latin amputare,
"to cut away“.
 43,000BC amputation was done with primitive tools
(knife.saw,axe etc)
 Ambroise pare established technical standards for
surgical amputation and develop spinal corset & shoe
modification. (1509-1590)
 Lisfracnc could amputate a foot within 1 minute. (1790-
1847)
 Baron Larrey did 200 amputation on the battlefield in 1
day according to Napoleon Bonaparte. (1800)
 Lord Lister develop antisepsis to reduce high mortality

5. Causes of Amputation
Peripheral vascular disease (intermittent Claudication ,
Arterioslerosis , Chronic venous insufficiency)
Diabetes
Trauma
Infection
Tumors (Osteosarcoma)
Limb deficiencies
Accessed 02 December 2018<http://bit.do/eCdyc>

6. Limb deficiencies
Amelia (Absence of whole limb)
Apodia (Absence of hand or foot)
Adactylia (Absence of one or more finger/toes with
meta carpals/tarsals)
Aphalangia (Absence of one or more fingers or
toes)
Phocomelia (Limbs are closer to the trunk and
shorter)

7. Upper limb Amputation Level
Accessed 02 December2018 < http://bit.do/eCdHd>

8. Forequarter Amputation
The bones are cut
I. Parts of clavicle
II. Parts of scapula
Accessed 02 December 2018 < http://bit.do/eCdGg>

9. Trans Humeral Amputation
Cut through the Humeral bone
Accessed 02 December 2018 <http://bit.do/eCdJC>Accessed 02 December 2018 <http://bit.do/eCdHV>
0-30% very short
30-50% short
50-90% standard or Medium
90-100 long stump

10. Trans Humeral stump length calculation
Length of Humerus
Accessed 02 December 2018 < http://bit.ly/2BP9lox >
stump length (cm)
100Unilateral stump length =
Stump length = Acromion process to end of the stump
Length of Humerus= Acromion process to Lateral Humeral Epicondyle

11. Trans Radial Amputation
Cut through the Radial bone
Accessed 02 December 2018 <http://bit.ly/2PhGnkv>
Accessed 02 December 2018 <http://bit.do/eCdL7>

12. Trans Radial stump length calculation
Sound side length
Accessed 02 December 2018 <http://bit.ly/2PhGnkv>
stump length (cm)
100Unilateral stump length =
Stump length =Lateral epicondyle to end of the stump
Sound side length= Lateral epicondyle to styloid process

13. Disarticulations
Shoulder disarticulation
Elbow disarticulation
Wrist disarticulation
Accessed 02 December 2018<http://bit.ly/2AIE2K8>Accessed 02 December 2018<http://bit.ly/2AObyin>
Accessed 02 December 2018<http://bit.ly/2DYNuww>

14. Hand Amputation
Trans phalange (PIP , DIP , or in between somewhere)
Thumb amputation
Trans carpal amputation
Accessed 02 December 2018 <http://bit.ly/2DYvqm3>
Accessed 02 December 2018 <http://bit.ly/2DYvqm3>
Accessed 02 December 2018 <http://bit.ly/2Ph5jsm> Accessed 02 December 2018 <http://bit.ly/2DYvqm3>

15. Conclusion
Upper limb amputation is less common than lower
limb amputation.The level of amputation is depend
upon the name of bone and joint where that
happen.A ideal amputation can help a person treat
well in the future by the prosthesis to enhance
rehabilitation

16. References
1. Ron Seymour.(2002) Prosthetics and Orthotics:Lower limb and spinal. Philadelphia, LIPPINCOTT WILLIAMS
& WILKINS.
2. Wikipedia.n.d.[Online] Available from: ttps://en.wikipedia.org/wiki/Upper_limb [Accessed 30th November
2018].
3. William Holl,Ambroise pare, Accessed 30th november
2018,https://en.wikipedia.org/wiki/Ambroise_Paré#/media/File:Ambroise_Paré.jpg
4. Nick Vujicic és a Nem adom fel - 2016.09.21. Budapest KVM . Accessed 30th November 2018 <
https://bit.ly/2FVJLSS >
5. Accessed 30th November 2018< https://bit.ly/2RzfJ92>
6. Accessed 30th November 2018 < http://bit.do/eCdxq>
7. Okki Adittio Ricated Leviyan (2018) upper limb prosthetic biomechanics,[Lecture Presentation]
BHPI,Savar,Dhaka, 19 September.

17. Thank you for listening