Updated: 5/13/2017

Congenital Amputations

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Introduction
  • Epidemiology
    • incidence
      • rare
    • body location
      • transradial is the most common location
  • Pathophysiology
    • due to failure of formation
  • Genetics
    • no clear genetic involvement
  • Risk factors
    • amniotic band constriction
  • Associated conditions
    • typically not associated with systemic conditions

Presentation
  • Symptoms
    • usually painless
    • functional deficits
  • Physical exam
    • varies depending on location of amputation
Imaging
  • Radiographs
    • AP and lateral of affected extremity
Treatment
  • Nonoperative
    • prosthesis placement
      • indications
        • fitting with passive terminal prosthesis recommended at the age of 6 months ("fit when they sit")
 

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