MossRehab, part of Albert Einstein Healthcare Network - Upper-Extremity Amputation Program

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Upper-Extremity Amputation Program

The primary reason for upper limb loss is trauma and the next most common cause is cancer. The level of amputation is the most important determinant of postamputation function. One of the primary goals of surgery is to save as much of the limb a possible. Saving the most distal joint possible dramatically improves the amputee's function.

The major categories of upper-limb amputations are:

Hand and Partial-Hand Amputations: Includes finger, thumb or portion of the hand below the wrist.
Wrist Disarticulation: The limb is amputated at the level of the wrist.
Transradial (below elbow amputations): Any amputation that occurs in the forearm, from the elbow to the wrist.
Transhumeral (above elbow amputations): Any amputation that occurs in the upper arm from the elbow to the shoulder.
Shoulder Disarticulation: An amputation that is at the level of the shoulder, with the shoulder blade remaining. The collarbone may or may not be removed.
Forequarter Amputation: A shoulder disarticulation amputation in which the shoulder blade and collar bone are removed.

Because upper-limb amputations are less frequently seen, many hospitals have little or no experience in treating this condition. It is important to receive care from an experienced team who is familiar with all of the treatment options for persons with upper-extremity amputation.

At MossRehab, the upper-extremity team consists of occupational, recreational and physical therapists; psychologists; social workers; nurses and the prosthetist. A physiatrist (rehabilitation doctor) leads the team. Each patient's program is tailored to his or her specific needs. You may work with each of the above team members or only one or two, depending on your individual needs.

We are experienced in working with both body-powered and electric upper-extremity prosthetics. Our treatment goal is to return people to independence so they can care for themselves, participate in hobbies and recreation, and return to work.

Many of our programs can be completed on an outpatient basis or in a more intensive Day Program.

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