You're using an outdated browser and can not see this website's design. We've allowed you to access all the content however, so you're not missing anything other than the pretty wrapper. Please download any browser that supports standards to view the full site.
1407 E. Michigan Ave., Jackson 517-784-1142 770 Riverside Ave., Suite 101, Adrian 517-263-3310
CHAPTER XXV - Shoulder-Joint Amputations
Amputations that are made in the shoulder joints leave short muscle stumps or no stumps at all. They require artificial arms the same as when amputations are between the elbow and shoulder joints.

Cut U 1 represents a shoulder-joint amputation, leaving a muscle stump. Cut U 2 shows a shoulder-joint amputation with no stump, and Cut U 3 represents a congenital malformation, the clavicle turned upward at its extremity, affording a knob, or prominence, on which an artificial arm can be securely adjusted.

An artificial arm constructed on the plan of that represented in Cut U 5 is suitable for any of the above cases. The manner in which it is applied and held by body strap is shown in Cut U 4.

Artificial arms are quite necessary in shoulder amputations or malformations; they keep the shoulders in position, restore symmetry to the body, and provide a means for assisting the other arm. By a shrug of the shoulder, the artificial arm is thrown forward, the flexion strap is contracted, and the elbow bends.

Young persons become very dexterous in manipulating arms under these conditions; they have been known to operate them so skillfully that few persons ever suspect the arms to be artificial.

Artificial arms for shoulder-joint amputations are constructed essentially the same as those for amputations between the elbows and shoulders. In addition to the usual stump socket there is a pad that runs well above the top and over the shoulder, resting on the shoulder close to the neck. The stump is held in position by a strap passing around the body under the opposite arm. The elbow joint admits of flexion and extension, and is provided with a locking arrangement that will hold it at right angles.

The attachment can be released by pressure applied to a press-button immediately under the forearm. Cuts U 6 and U 7 represent the arm flexed at right and oblique angles.

Peg arms for shoulder-joint amputations are practically the same as those for above-elbow amputations, and are described in previous chapter.

I have been an above knee amputee for 42 years now, and have had many experiences with various orthotic and prosthetic personnel, some of whom were much better than others in terms of understanding my needs as an above knee amputee both in terms of comfort, longevity of various products, and the demands I place on my "equipment" related to not just everyday issues but the occasional or frequent abuse of product that my lifestyle puts on my equipment. As an avid amputee golfer, and someone jumping on and off lawn tractors and other farming equipment, I certainly put my equipment to major stress.
Click here for full text