Trimembral Congenital Limb Deficiency: The Ultimate Challenge-Pregnancy and Child Care
INDA MINER, O.T.R., C.H.T., JAMES A. LEONARD, M.D. AND VIRGINIA SIMSON NELSON, M.D., M.P.H.
A 28-year-old woman with trimembral congenital skeletal limb deficiencies (bilateral terminal transverse humeral deficiency and left fibular hemimelia) has been followed by the University of Michigan Department of Physical Medicine and Rehabilitation since birth. Over the years, she has become adept at using her feet, stumps, and bilateral conventional prostheses to perform activities of daily living (ADL). In 1991 this woman became pregnant and delivered a healthy daughter and now is independently caring for her child. Several ADL, prosthetic fitting and functional issues needed to be resolved during pregnancy. The adaptive techniques and equipment which enabled this patient to continue functioning independently will be demonstrated in a video presentation of this young mother and her child.
Department of Physical Medicine and Rehabilitation, University Hospital 16225, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0046