Generally speaking limb deficiency is defined as the loss of any part of a limb this can vary widely in severity from the unilateral partial loss of a toe as can be seen in constriction band syndrome to the total loss of multiple extremities due to teratogens or genetic syndromes. Limb deficiency is caused by congenital deficiency trauma cancer and disease in the total us population peripheral vascular disease among adults accounts for more than 80 of amputations with a greater than 25 rate of increase in the latter half of the twentieth century. Experts in the field of orthopaedic surgery physical therapy child psychology and prosthetics and orthotics discuss the aetiology diagnosis and treatment of genetic and traumatic limb deficiencies in children. Fortunately a child can retain quite a bit of function with an upper limb deficiency even if a large part of the limb is missing and there are major deformities its rare to perform upper limb surgery early in the childs life it may take time to determine whether the child can effectively grasp and manipulate objects with the involved limb rudimentary digits even if unable to . At the limb deficiency clinic at nationwide childrens hospital patients have access to the broad resources and expertise of our entire hospital while also having the attention of a subspecialist in physical medicine and rehabilitation and a community prosthetist and orthotist who specialize in pediatric limb deficiency care
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