Case Report: A Prosthetic Option For The Extremely Short Below Elbow Limb Deficiency Utilizing Switch Control

The congenital transverse below elbow is the most common limb deficiency seen in our practice today. There is a small group of unilateral deficiencies who have such short forearm segments that they are fit with elbow disarticulation prostheses. When fit with this type prosthesis,the success rate usually drops significantly This report will focus on our experiences of fitting a three month old male with an extremely short transverse deficiency and our concurrent fittings over the next 27 months The pi osthetic challenges of fitting this young child at the below elbow functional level are numerous The parent's desire to have a functional hand incorporated into the prosthetic design makes this case more complicated This case presentation will discuss the prosthetic plan that was followed to find an acceptable solution for the child and his family. Unique to this presentation is the use of a hybrid socket design and the utilization of a one function switch controlled electric hand.