Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 3-9 , March 2006

Limb Deficiency and Prosthetic Management. 1. Decision Making in Prosthetic Prescription and Management

  • Virginia S. Nelson, MD, MPH

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI
    • Corresponding Author InformationReprint requests to Virginia S. Nelson, MD, MPH, Dept of PM&R, 325 E Eisenhower, Ann Arbor, MI 48108
    • ,
  • Katherine M. Flood, MD

      Affiliations

    • Physical Medicine and Rehabilitation Program, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA
    • ,
  • Phillip R. Bryant, DO

      Affiliations

    • Good Shepherd Rehabilitation Hospital, Allentown, PA
    • ,
  • Mark E. Huang, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Paul F. Pasquina, MD

      Affiliations

    • Physical Medicine and Rehabilitation Service, Walter Reed Army Medical Center, Washington, DC
    • ,
  • Toni L. Roberts, DO

      Affiliations

    • Physical Medicine and Rehabilitation Service, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT

  • Image Result

    ISO/ISPO designation of levels of transverse deficiencies of upper and lower limbs. Note that the skeletal elements marked with an asterisk are used as adjectives in describing transverse deficiencies

    ISO/ISPO designation of levels of transverse deficiencies of upper and lower limbs. Note that the skeletal elements marked with an asterisk are used as adjectives in describing transverse deficiencies; for example, transverse carpal total deficiency. A total absence of the shoulder or hemipelvis (and all distal elements) is a transverse deficiency. If only a portion of the shoulder or hemipelvis is absent, the deficiency is of the longitudinal type. Reprinted with permission.2

  • Image Result
    Description of longitudinal deficiencies of the upper limb using the ISO/ISPO system. *Digits of the hand are sometimes referred by name: 1, thumb; 2, index; 3, middle; 4, ring; 5, little (or small).

    Description of longitudinal deficiencies of the upper limb using the ISO/ISPO system. *Digits of the hand are sometimes referred by name: 1, thumb; 2, index; 3, middle; 4, ring; 5, little (or small). Reprinted with permission.2

  • Image Result
    Description of longitudinal deficiencies of the lower limb using the ISO/ISPO system. *The great toe, or hallux. Reprinted with permission.2

    Description of longitudinal deficiencies of the lower limb using the ISO/ISPO system. *The great toe, or hallux. Reprinted with permission.2

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01456-5

doi: 10.1016/j.apmr.2005.11.022

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 3-9 , March 2006

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