Upper Extremities
1. The younger the child is at the time of amputation, the easier the transformation of hand dominance.
2. Children with high-level, bilateral upper-limb loss may benefit from a prosthesis for ADLs.
Since limited body movements are available, the child may benefit from at least one hybrid or completely externally powered prosthesis. Prior to the consideration of prosthetic fitting, it is paramount that the child and family begin exploring the use of the child's lower limbs, as independence can also be achieved with feet.3. At birth, the severely deformed upper extremity often detracts from the identification of more important systemic workup. Although there may not be any other underlying etiologies or comorbidities, it is essential for the clinic team to explore these possibilities.
4. It is important to teach parents about the loss of surface area corresponding to the absent limb. Active children with multiple limb loss have a reduced surface to radiate heat loss, so they may have an increase in sweating and flushing about the head and neck.
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- Physical Examination
- Spinal Muscular Atrophy II
- Violence in the Mesolithic