SPS. Terminology. Basic O&P Terminology
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1 Terminology Diagram on page below Prosthetics Orthotics Anterior Posterior Medial Lateral Proximal Distal D-3 Endoskeletal Basic O&P Terminology Science and art involved in treating patients by the use of prostheses (artificial limbs etc ). Science and art involved in treating patients by the use of orthoses (braces etc ). Toward the front. Toward the back. Toward the midline of the trunk; inside of leg. Away from the midline of the trunk; outside of leg. Toward the trunk; refers to the extremities; top. Away from the trunk; refers to the extremities; bottom. Strength from the inside; modular leg with endo components-pylon etc D-3 Exoskeletal Strength from the outside; exoskeletal leg is hard lamination on the outside and hollow on the inside, it is usually made of wood and lamination, no endo components. Lower Extremity Levels of Amputation D-1 Partial foot Amputation below the ankle joint. D-1 Symes Amputation through the ankle joint; with very little bone cutting. D-1 Below knee Amputation between the knee joint and the ankle. D-1 Trans-tibial Amputation between the knee joint and the ankle. D-1 Knee disartic Amputation through the knee joint; no bone was cut. D-1 Above knee Amputation between the hip an knee joint. D-1 Trans-femoral Amputation between the hip an knee joint. D-1 Hip disartic Amputation through the hip joint; no bone was cut. Upper Extremity Levels of Amputation D-2 Partial hand Amputation below the wrist joint. D-2 Wrist disartic Amputation through the wrist joint; no bone was cut. D-2 Below elbow Amputation between the wrist and the elbow. D-2 Trans-radial Amputation between the wrist and the elbow. D-2 Elbow disartic Amputation through the elbow joint; no bone was cut. D-2 Above elbow Amputation between the shoulder and elbow joint. D-2 Trans-humeral Amputation between the shoulder and elbow joint. D-2 Shoulder disartic Amputation through the shoulder joint; no bone was cut. Abbreviations for Levels of Amputation D-2 AE Above Elbow amputation. D-1 AK Above Knee amputation. D-2 BE Below Elbow amputation. D-1 BK Below Knee amputation. D-2 ED Elbow Disarticulation, amputation through joint, no bone was cut. D-1 HD Hip Disarticulation, amputation through joint, no bone was cut. D-1 KD Knee Disarticulation, amputation through joint, no bone was cut. D-2 SD Shoulder Disarticulation, amputation through joint, no bone was cut. D-2 WD Wrist Disarticulation, amputation through joint, no bone was cut. 1 SPS 1
2 Foot Orthosis Ankle-foot Terminology Levels of Orthotic Bracing Orthosis for whole or part of the foot. Brace for the ankle and foot. Knee Brace for the knee. Knee-ankle foot Brace for the knee, ankle and foot. Hip Brace for the hip. Hip-knee-ankle-foot Brace for the hip, knee, ankle and foot. Hand Orthosis for whole or part of the hand. Wrist-hand Brace for the wrist and hand. Elbow Brace for the elbow. Elbow-wrist-hand Brace for the elbow, wrist and hand. Shoulder Brace for the shoulder. Shoulder-elbow Brace for the elbow. Shoulder-elbowwrist-hand Brace for the shoulder, elbow, wrist and hand. Lumbo-sacral Brace for the lower back; lower back; covers the sacrum and lumbar. Thorac-lumbosacral Brace for the back; lower back and shoulders; covers the sacrum, lumbar and thoracic. Cervical Brace for the neck. Halo Brace that fixtures to the skull to stabilize the cervical spine fractures; for broken neck. AFO KAFO HKAFO HO WHO EWHO SEWHO SEO LSO TLSO Abbreviations for Levels of Orthotic Bracing Ankle-Foot Orthosis. Knee-Ankle-Foot Orthosis. Hip-Knee-Ankle-Foot Orthosis. Hand Orthosis. Wrist-Hand Orthosis. Elbow-Wrist-Hand Orthosis. Shoulder-Elbow-Wrist-Hand Orthosis. Shoulder-Elbow Orthosis. Lumbo-Sacral Orthosis. Thorac-Lumbo-Sacral Orthosis. 2 SPS 2
3 Pelvis Sacrum (part of the spine, S1-S5) Coccyx (tail bone) Hip Disarticulation: Amputation through the hip joint; no bone is cut. Ischium or Ischial Tuberosity Femur (thigh bone) AK Above Knee or Trans-femoral: Amputation between the hip and knee joint Patella (knee cap) Knee Disarticulation: Amputation through the knee joint; no bone is cut. Fibula Lateral Malleolus (ankle bone) Tibia (shin bone) Medial Malleolus (ankle bone) BK Below Knee or Trans-tibial: Amputation between the knee and ankle joint. Symes: Amputation through the ankle joint with very little bone cutting. Phalanges (toes) Metatarsals (5 each) Calcaneus (heel bone) Chopart: Amputation Partial Foot: through the Amputation below the fore foot fore foot D-1
4 Shoulder Disarticulation: Amputation through the shoulder joint; no bone is cut. Clavical (collar bone) Scapula (shoulder blade) AE Above Elbow: Amputation between the shoulder and elbow joint. Humerus ED Elbow Disarticulation: Amputation through the elbow joint; no bone is cut. Ulna Medial Epicondyle BE Below Elbow: Amputation between the wrist and elbow joint. Radius Wrist Disarticulation: Amputation through the wrist joint; no bone is cut. Partial Hand: Amputation below the wrist joint. Carpal (wrist bones; 8each) Metacarpals (5each) Phalanges (fingers) D-2
5 PTB Strap: Used to hold the artificial limb on the patient; it can be riveted to any BK. Socket: The portion of a prosthesis that receives the patients stump. Cutaway View Hollow on the inside. Outer Shell: Lamination and thin layer of wood or ridged foam. (Structural strength comes from this outer shell) Tube Clamp Adapter Pylon (Structural strength comes from this pylon) Foam Cover: Soft like a sponge. (For cosmetics only; no structural value) Heel Wedge: Made of soft material for cushion at heel strike. D-3
6 Socket: The portion of a prosthesis that receives the patients stump. Hole for release button of a Fillauer Shuttle Lock 4-Hole Male Pyramid This is cutaway for show only. Tube Clamp Adapter Pylon (Structural strength comes from this pylon) Foam Cover: Soft like a sponge. (For cosmetics only; no structural value) This leg would be finished with pantyhose or some kind of prosthetic skin (example, U-Flate Skin) D-4
7 Stance Phase Swing Phase D-5
8 Side View Anterior View Cervical section of the spine C1 at the top Through C7 at the bottom Thoracic section of the spine T1 at the top Through T12 at the bottom Lumbar section of the spine L1 at the top Through L5 at the bottom Sacrum section of the spine S1 at the top Through S5 at the bottom *S1-5 fused together Coccyx (Tail bone) D-6
9 Aluminum Calf Band Covered with Cowhide Calf band is made of cowhide, smoked elk and a velcro strap. It is riveted inside the aluminum calf band. One Piece Aluminum Standard Action Ankle Joint and Upright Split Stirrup Caliper Plate Split Stirrup This thin glue line is were the shoe was cut and the caliper plate was installed Modular Standard Action Ankle Joint with Upright Attached Upright Ankle Joint The split stirrup, uprights and calf bands you see on this page are finished products ready to be fit on the patient. When you sell them they are straight with no bends. Each split stirrup, upright and calf band is bent custom to fit the shape of each patient s leg. Split Stirrup D-7
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