Socket Considerations + Transradial Casting and Fitting Procedures

The remaining length of the residual limb can indicate what for upper extremity?

supination or pronation

Name the pre prosthetic post surgical goals

1. Hygiene

2. Desensitizing

3. ROM/MMT

4. pain management / wound care

5. Volume control (shrinkers)

What is considered the golden period of when to fit a patient for a prosthesis?

within 30 days

Which type of socket would the patient still have the supination/pronation function still?

infracondylar

The Northwestern socket follows a _________ system while the Muenster Variants and ACCI follow a _________ system

push in, pull in

What type of hinge would be expected for a patient with >50% of their limb intact?

flexible hinge

What type of hinge should be expected for a patient with <50% of their limb intact?

rigid

What type of hinge would be most appropriate for a patient who lacks UE ROM and has a very short limb?

step up hinge

The Northwestern has what type of focus for suspension

ML

The Munster and Variants focus on what type of suspension?

AP

Explain what the Carlyle Index is

used to determine length of upper limb

List the 6 different grip patterns

1. cylindrical grip

2. jaw chuck grip

3. lateral grip

4. spherical grip

5. hook and snap grip

6. tip grip

What is the ROM for a Muenster Variant ACCI socket?

35-110

What is the ROM for a Northwestern socket?

0-130

What is the difference in displacement between self suspending and conventional sockets?

conventional will displace less than 1 inch

self suspending sockets will displace less than ½ inch