Pediatric Upper Extremity Case
Chris German
Description
Collection
Title:
Pediatric Upper Extremity Case
Creator:
Chris German
Date:
6/3/2009
Text:
I work closely with a pediatric orthopedist. Today he consulted me on
options for an upper extremity prosthesis for a nine month old boy. The
patient was born with nerve root avulsion's of C5-T1 with a resultant
flail arm. There has been no amputation at this point. This patient
has seen specialists in both Boston and NYC for nerve reconstruction
surgery. The specialists feel the outcome would not be successful. Has
anyone come across a similar case and if so what was the outcome? The
questions that are most relevant are- would the patient benefit from an
amputation versus an orthosis to control the flail arm? If an
amputation is indicated-what would be the optimal level? Should the
parents wait until the child is old enough to make the decision for
himself (parents are split on the idea of amputation)? How well can we
expect a nine month child to do with a prosthesis? I would appreciate
any feedback if you have worked on a similar case.
Thank you,
Chris German, CPO
options for an upper extremity prosthesis for a nine month old boy. The
patient was born with nerve root avulsion's of C5-T1 with a resultant
flail arm. There has been no amputation at this point. This patient
has seen specialists in both Boston and NYC for nerve reconstruction
surgery. The specialists feel the outcome would not be successful. Has
anyone come across a similar case and if so what was the outcome? The
questions that are most relevant are- would the patient benefit from an
amputation versus an orthosis to control the flail arm? If an
amputation is indicated-what would be the optimal level? Should the
parents wait until the child is old enough to make the decision for
himself (parents are split on the idea of amputation)? How well can we
expect a nine month child to do with a prosthesis? I would appreciate
any feedback if you have worked on a similar case.
Thank you,
Chris German, CPO
Citation
Chris German, “Pediatric Upper Extremity Case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/230406.
