Sunday, September 8, 2024

Brachial Plexus – Amputation

ecat

How’s that?….. two posts to the list in as many days! It never stops!

I had a guy in for assessment today: 28. with a nine year old Brachial

Plexus injury which has left him with some Biceps function, shoulder

elevation and depression; no ab~ or adduction; no pronation/supination of

forearm etc.

His surgeon has sent him to me with a view to assessment prior to possible

amputation. Apart from the obvious fillip to my ego having a Surgeon

consult me, I was struck by the possibility that this guy could go from

having a totally useless upper limb to a prosthetic limb that should be of

some functional value, given that his elbow should be salvageable, with

function from the biceps and that he would have a functional terminal

device.

He hadn’t considered a prosthesis at all but was considering amputation to

ease the pain/paraesthesia that he suffers in the afflicted limb.

I would appreciate ANY advice that you could give with regard to

componentry/function/post-op. pain levels in these cases etc.

Kind regards, Richard Ziegeler (Prosthetist, Occ.Therapist)

[email protected]

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