Congenital Partial Hand Prosthesis
Markus Saufferer
Description
Collection
Title:
Congenital Partial Hand Prosthesis
Creator:
Markus Saufferer
Date:
11/27/2005
Text:
Hello colleagues,
I am working with an adolescent male with a unilateral congenital transverse deficiency at the mid-carpal level (aka adactylia.). This individual has good pronation supination and flexion/ extension of his wrist. The portion of his hand/wrist? beyond the radius is approx. 3cm in length and finger nubbins are present.
He was not fitted with a prostheis originally and has now consulted me with prosthetic options as he find ADLs and recreational persuits more challenging.
Has anyone successfully fitted such a case and what technique did you employ? The wrist is relatively strong and the hand relatively pressure tolerant. However, the hand may not be long enough to allow me to capture it in a socket to permit control of a device. My initial ideas are suspension over the ulnar styloid complemented by an alpha spirit liner with velcro, as the styloid is not especially pronounced. I would initially try a passive termial device as the patient requested an easily removable prosthesis. Any other ideas?
Markus Saufferer, C.P.(c)
I am working with an adolescent male with a unilateral congenital transverse deficiency at the mid-carpal level (aka adactylia.). This individual has good pronation supination and flexion/ extension of his wrist. The portion of his hand/wrist? beyond the radius is approx. 3cm in length and finger nubbins are present.
He was not fitted with a prostheis originally and has now consulted me with prosthetic options as he find ADLs and recreational persuits more challenging.
Has anyone successfully fitted such a case and what technique did you employ? The wrist is relatively strong and the hand relatively pressure tolerant. However, the hand may not be long enough to allow me to capture it in a socket to permit control of a device. My initial ideas are suspension over the ulnar styloid complemented by an alpha spirit liner with velcro, as the styloid is not especially pronounced. I would initially try a passive termial device as the patient requested an easily removable prosthesis. Any other ideas?
Markus Saufferer, C.P.(c)
Citation
Markus Saufferer, “Congenital Partial Hand Prosthesis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/225692.
