Prosthetic Principles Cover

Marcus Boren

Special thanks go to prosthetic Resident, Marcus Boren, for suggesting the formation of a P&O Reference Library and particularly for contributing the first digital text. Marcus has scanned the classic UCLA publication from the 1950s that was the first comprehensive manual for upper limb prosthetics in North America.

Although many of the materials and methods now seem quaint [when was the last time you made a test socket from bee's wax?], most of the principles have withstood the test of time. This text is still an excellent foundation to help the novice understand the fundamentals of creating a body-powered artificial limb.

Interested readers can reach Marcus via email at:

Prosthetic Principles
Upper Extremity Amputations


Table of Contents

Introduction ii
I. Anatomical Positions, Directions, and Planes
Bones of the Upper Extremity
1
3
II. Anatomical Movements
Body Landmarks
4
8
III. Components
- Terminal Devices
- Wrist Units
- Elbow Joints
- Shoulder Joints
- Control System

11
16
18
22
25
IV. Materials, Tools & Techniques
- Materials
- Tools
- Techniques

27
46
56
V. Hand Prosthesis
- Introduction
- Partial Hand - Thumb Remaining
- Special Devices

71
74
90
IX. Cosmetic Components
- Introduction
- Cosmetic Gloves
- Passive Lower Arms
- Passive Upper Arms and Shoulders

92
92
102
103
X. Wrist Disarticulation Prosthesis
- Wrap Cast
- Wax Check Socket
- Check Socket Model
- Wax Check Socket Fabrication
- Wax Check Socket Fit
- Harnessing the Flexible Hinge Prosthesis

105
113
115
120
123
203
XI. Rigid Hinge Prosthesis
- Wax Check Socket - Rigid Hinge
- Single Joint Spacer
- Break Out Mold
- Plastic Socket
- Forearm Extension
- Fitting

130
137
140
141
146
155
XII. Step-Up Hinge Prosthesis
- Wrap Cast
- Wax Check Socket
- Wax Check Socket Fit
- Installation of Multi Action Hinge

161
173
175
184
XIII. Muenster Prosthesis
- Prescription Criteria
- Wrap Cast
- Check Socket
- Forearm Extension Pre Flexion Angle

208
209
218
227
XIV. Above Elbow Prosthesis
- Introduction
- Measurement
- Wrap Cast
- Wax Check Socket
- Harnessing
- Controls Training

237
239
244
250
298
310
XV. Outside Locking Hinge Prosthesis
- Introduction
- Measurement
- Wrap Cast
- Check Socket Model
- Wax Check Socket
- Plastic Socket
- Making the Forearm
- Harnessing

262
264
266
272
277
285
289
298
XVI. Shoulder Prosthesis
- Introduction
- Shoulder Joints
- Measurement
- Wrap Cast
- Check Socket Model
- Wax Check Socket
- Making the Mold
- Socket & Humeral Section
- Harnessing

316
318
322
324
327
329
334
337
348

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