Powered Shoulder for Bilateral Upper Complete Phocomelia

C. D. EDHOLM, MD,THOMAS POLEGA, CP, AND BARBARA KANIEWSKI, OTR**Grand Rapids, Michigan


Useful prosthetic function for severe upper-limb loss is hampered by lack of shoulder range of motion, leading to inability of the child to place the terminal device forward into space. A nonambulatory child with bilateral upper complete phocomelia has been fitted with an externally powered prosthesis providing shoulder motion, elbow motion, and terminal device function. One modified electric elbow provides uniaxial shoulder motion and a second electric elbow functions in standard fashion. A Michigan hook provides grasp.

**Area Child Amputee Center, 260 Jefferson, SE, Grand Rapids, MI 49503