Congenital Limb deficiencies. Physiotherapy for pediatrics.pdf

Pt Pediatrics

1. Congenital Limb Deficiency

2. What is it?ž
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3. Children and Adults
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4. Congenital versus
acquired limb
deficiency
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5. Terminology
TerminologyDescription
AmeliaAbsenceofawholelimb.
MeromeliaAbsenceofapart,butnotall,ofoneormorelimbswiththepresenceofahandorfoot.
ApodiaAbsenceofahandorfoot.
AdactyliaAbsenceofoneormorefingersortoesandassociatedmetacarpalsormetatarsals.
IntercalaryDeficiencyAbsenceofmiddlepart(s)lyingbetweenaproximal-distalseriesoflimbcomponents;
elementsproximaltoanddistaltotheabsentpart(s)arepresent.
Pre-axialAbsenceoftheportionofthefore-armand/orhand,orlegand/orfootonthethumborthe
great-toesideofthelimb(radialortibialportion).
PostaxialAbsenceoftheportionofthefore-armand/orhand,orlegand/orfootonthesideofthe
limboppositethethumborthegreattoe(ulnarorfibularportion).
RayAbsenceofadigit.

7. Classification
More challenging than simply
stating transfemoral or transtibial
amputation.
International Society for
Prosthetics and Orthotics (ISPO)
classification system states
whether the deficiency occurs in
a transverse or longitudinal
orientation and which anatomical
structures are partially or totally
absent.

11. Congenital limb deficiency (ISPO
classification)
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13. General
Considerations for
Prosthetic
Management
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14. Treatment
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15. Prosthesis

17. (1) Preoperative
phase:
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18. (2) Surgical principles:
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19. (3) Postoperative
phase:
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20. (4) Follow up:

21. Thank you..