Above the Elbow vs. Below the Elbow: How Prosthetic Options Differ \u2013 Open Bionics<\/title>\n\n <link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n <link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\" crossorigin>\n <link href=\"https:\/\/fonts.googleapis.com\/css2?family=DM+Serif+Display:ital@0;1&family=Roboto:wght@300;400;500;600&display=swap\" rel=\"stylesheet\">\n\n <style>\n :root {\n --gradient: linear-gradient(90deg, #1fa5de, #7764ef);\n --blue: #1fa5de;\n --purple: #7764ef;\n --black: #0d0d0d;\n --grey-dark: #333333;\n --grey-mid: #777777;\n --grey-light: #f4f4f4;\n --white: #ffffff;\n --font-display: 'DM Serif Display', Georgia, serif;\n --font-body: 'Roboto', sans-serif;\n }\n\n *, *::before, *::after { box-sizing: border-box; margin: 0; padding: 0; }\n\n body {\n font-family: var(--font-body);\n font-weight: 400;\n color: var(--black);\n background: var(--white);\n -webkit-font-smoothing: antialiased;\n }\n\n .intro-block {\n border-left: 3px solid transparent;\n border-image: var(--gradient) 1;\n padding-left: 24px;\n margin-bottom: 48px;\n }\n\n .intro-block p {\n font-family: var(--font-body);\n font-size: 20px;\n line-height: 1.7;\n color: var(--grey-dark);\n margin-bottom: 16px;\n }\n\n .intro-block p:last-child { margin-bottom: 0; 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}\n\n .cta-inline a.cta-link {\n display: inline-block;\n background: var(--blue);\n color: var(--white);\n font-family: var(--font-body);\n font-size: 14px;\n font-weight: 600;\n text-decoration: none;\n padding: 12px 28px;\n border-radius: 60px;\n }\n\n .cta-block {\n margin-bottom: 0;\n padding: 48px 40px;\n background: var(--gradient);\n border-radius: 16px;\n text-align: center;\n color: var(--white);\n }\n\n .cta-block h3 {\n font-family: var(--font-display);\n font-size: clamp(24px, 3vw, 32px);\n line-height: 1.2;\n margin-bottom: 16px;\n font-weight: 400;\n color: var(--white);\n }\n\n .cta-block p {\n font-family: var(--font-body);\n font-size: 16px;\n line-height: 1.6;\n color: var(--white);\n opacity: 0.9;\n margin-bottom: 32px;\n max-width: 480px;\n margin-left: auto;\n margin-right: auto;\n }\n\n .cta-btn {\n display: inline-block;\n background: var(--white);\n color: var(--purple);\n font-family: var(--font-body);\n font-size: 14px;\n font-weight: 600;\n text-decoration: none;\n padding: 14px 36px;\n border-radius: 60px;\n transition: transform 0.2s, box-shadow 0.2s;\n box-shadow: 0 4px 20px rgba(0,0,0,0.15);\n }\n\n .cta-btn:hover {\n transform: translateY(-2px);\n box-shadow: 0 8px 28px rgba(0,0,0,0.2);\n }\n\n .editorial-note {\n margin-top: 64px;\n padding: 20px 24px;\n background: #fffbea;\n border-left: 3px solid #f0c040;\n border-radius: 0 8px 8px 0;\n font-family: var(--font-body);\n font-size: 13px;\n color: #666;\n line-height: 1.6;\n }\n\n .editorial-note strong {\n color: #333;\n display: block;\n margin-bottom: 8px;\n font-size: 11px;\n letter-spacing: 1.4px;\n text-transform: uppercase;\n }\n\n .editorial-note ul { padding-left: 16px; margin-top: 6px; }\n .editorial-note ul li { margin-bottom: 4px; }\n\n @media (max-width: 600px) {\n .compare-grid { grid-template-columns: 1fr; }\n .pull-quote { padding: 32px 24px; }\n .pull-quote::before { font-size: 80px; }\n .cta-block { padding: 36px 24px; }\n }\n <\/style>\n<\/head>\n<body>\n\n<div style=\"max-width:740px;margin:0 auto;padding:0 24px;\">\n\n \n <div class=\"intro-block\">\n <p>When people begin researching prosthetic options for an upper limb difference, one of the first questions they face is also one of the most fundamental: what level is the limb difference, and what does that mean for what is available?<\/p>\n <p>The distinction between a below-elbow and above-elbow limb difference shapes almost every aspect of the prosthetic journey. The control mechanisms work differently. The socket complexity differs. The number of joints involved changes what the device needs to do. So do the options.<\/p>\n <p>This guide covers what that difference means in practical terms, what each level makes possible, and where Open Bionics fits into the picture.<\/p>\n <\/div>\n\n <div class=\"divider\"><hr><\/div>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Understanding the levels<\/span>\n <h2>The terms transradial and transhumeral describe where the limb difference occurs, and that location changes everything.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-23-at-7.39.52-PM.png\" alt=\"Diagram showing below elbow and above elbow limb difference levels\" \/>\n <p>A <strong>below-elbow limb difference<\/strong> (the acquired form is called transradial amputation) means the limb is absent or ends between the wrist and the elbow, whether from birth or through acquired limb loss. The elbow joint is intact. The muscles in the forearm that would normally control the wrist and hand are partially or fully present. That remaining musculature is what myoelectric devices use to generate control signals.<\/p>\n <p>An <strong>above-elbow limb difference<\/strong> (the acquired form is called transhumeral amputation) means the limb is absent or ends between the shoulder and the elbow. The elbow joint is absent. Control signals must come from higher up in the arm, typically the biceps and triceps. A prosthetic device at this level needs to replace both elbow and hand function, which significantly increases the complexity of both the hardware and the control system.<\/p>\n <p>Both levels are common across acquired and congenital presentations. The prosthetic path for each is distinct but well-established.<\/p>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Below the elbow<\/span>\n <h2>People with below-elbow limb differences retain the elbow joint, and Open Bionics fits below-elbow patients directly through its US clinics.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2026\/02\/Jason-Hero-RGD.png\" alt=\"Person with below-elbow limb difference using a Hero Arm or Hero PRO\" \/>\n <p>Retaining the elbow means the prosthetic system does not need to replicate elbow function, only the hand and wrist. Open Bionics’ socket is currently designed for below-elbow limb differences, where the complexity of an elbow joint is not a factor. The fully wireless MyoPods can be placed anywhere on the residual limb to detect muscle signals, which are then translated into grip patterns by the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> or <a href=\"https:\/\/openbionics.com\/hero-rgd\/\" target=\"_blank\">Hero RGD<\/a>. Most people learn to use this control system quickly, and with training it becomes intuitive.<\/p>\n <p>The practical result is a device capable of handling real-world demands across work, daily life, and activity. Lucy, a Hero Arm user who works in a warehouse, described what that means in her day-to-day.<\/p>\n\n <div class=\"inline-quote\">\n <p>“I use it every day at work. I can push cages, trollies, and drive any manual handling equipment around the warehouse, as well as using other heavy machinery and equipment.”<\/p>\n <cite>Lucy, Hero Arm user<\/cite>\n <\/div>\n\n <p>Daniel, who works as a technician, found the same was true in his field.<\/p>\n\n <div class=\"inline-quote\">\n <p>“For me the arm has been incredibly useful for my job as a technician because I do a lot of work that generally requires two hands, and it has been more than capable keeping up with the workload.”<\/p>\n <cite>Daniel, Hero Arm user<\/cite>\n <\/div>\n\n <p>The effect goes beyond function. Jio, another Hero Arm user, described a shift in how he experienced himself outside of wearing the device.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The biggest difference is how I now feel when I am not wearing it. I’m totally okay with my limb difference now. I’m not shy about it. It’s just made my life easier. It helped me to accept being different and that it’s cool.”<\/p>\n <cite>Jio, Hero Arm user<\/cite>\n <\/div>\n\n <p>We operate specialist upper limb clinics across the United States and fit people with below-elbow limb differences with the <a href=\"https:\/\/openbionics.com\/hero-arm\/\" target=\"_blank\">Hero Arm<\/a>, <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a>, and <a href=\"https:\/\/openbionics.com\/hero-rgd\/\" target=\"_blank\">Hero RGD<\/a>. Each device is custom-fabricated to the individual’s residual limb, and all clinical appointments are included.<\/p>\n\n <div class=\"compare-grid\">\n <div class=\"compare-card\">\n <h3>Below elbow: what’s preserved<\/h3>\n <ul>\n <li>Elbow joint and function<\/li>\n <li>Forearm musculature for EMG signals<\/li>\n <li>Natural pronation and supination<\/li>\n <li>Shorter prosthetic system needed<\/li>\n <\/ul>\n <\/div>\n <div class=\"compare-card\">\n <h3>Below elbow: prosthetic options<\/h3>\n <ul>\n <li>Myoelectric bionic arm (Hero Arm, Hero PRO, Hero RGD)<\/li>\n <li>Body-powered device<\/li>\n <li>Activity-specific arm (Hero Flex, for eligible patients aged 8+ with forearm 8cm+)<\/li>\n <li>Passive cosmetic prosthesis<\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/section>\n\n \n <div class=\"pull-quote\">\n <p>The level of a limb difference shapes what is possible. It does not set the ceiling for what you can do.<\/p>\n <\/div>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Above the elbow<\/span>\n <h2>People with above-elbow limb differences face greater complexity, but their options have expanded significantly.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2025\/06\/Above-elbow-myopods.jpg\" alt=\"Person with above-elbow limb difference wearing a prosthetic arm\" \/>\n <p>People with above-elbow limb differences face greater system complexity because the prosthesis must replace both elbow and hand function. Our Hero Flex socket is currently designed for below-elbow limb differences, as it does not include an elbow joint. The Hero PRO’s fully wireless MyoPods can be placed anywhere on the body to detect muscle signals, which is precisely what makes it well-suited as a terminal device in above-elbow systems built by partner prosthetists.<\/p>\n <p>Traditional myoelectric systems for above-elbow users relied on sequential control: the user switches between elbow mode and hand mode using a dual muscle contraction. Every movement requires deliberate thought. More recent advances, including pattern recognition systems and targeted muscle reinnervation (TMR), have improved this significantly by creating additional control sites and allowing more natural, simultaneous movement.<\/p>\n <p>Mike, a military veteran and Hero RGD user, has worn bionic arms for 30 years. His take on where the technology stands now is direct.<\/p>\n\n <div class=\"inline-quote\">\n <p>“I have had 5 other bionic arms over the past 30 years and the last two by far have been the easiest to use and the most unique of them all.”<\/p>\n <cite>Mike, Hero RGD user<\/cite>\n <\/div>\n\n <p>Eric made the trip from Michigan to Chicago with his father-in-law, who had lost his arm in a machine press over 50 years earlier and had never considered a bionic option. Eric described what that appointment meant for his family.<\/p>\n\n <div class=\"inline-quote\">\n <p>“With his age we knew this would be a challenge for him with the technology. However, our prosthetist took an incredible amount of time and has the patience and passion to truly make this experience life changing.”<\/p>\n <cite>Eric, family member of a Hero PRO user<\/cite>\n <\/div>\n\n <div class=\"compare-grid\">\n <div class=\"compare-card\">\n <h3>Above elbow: what changes<\/h3>\n <ul>\n <li>Elbow joint must be replaced<\/li>\n <li>Fewer native EMG control sites<\/li>\n <li>More complex socket and harness system<\/li>\n <li>Elbow and hand function both require control<\/li>\n <\/ul>\n <\/div>\n <div class=\"compare-card\">\n <h3>Above elbow: prosthetic options<\/h3>\n <ul>\n <li>Powered elbow with myoelectric terminal device<\/li>\n <li>Body-powered elbow and hook<\/li>\n <li>Hybrid system (body-powered elbow, myoelectric hand)<\/li>\n <li>Passive cosmetic prosthesis<\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Hero PRO for above-elbow users<\/span>\n <h2>People with above-elbow limb differences can request the Hero PRO as a terminal device through an Open Bionics partner clinic.<\/h2>\n <p>Open Bionics fits people with below-elbow limb differences directly through its specialist US clinics. Above-elbow presentations require a prosthetist who can fit the full system including the elbow component, and Open Bionics supports those cases through its partner clinic network.<\/p>\n <p>A recent case involving AlliedOP and Open Bionics illustrates how that works in practice. Angelo Russello, a senior prosthetist at AlliedOP, was referred an adult with an above-elbow limb difference who had researched the Hero PRO online and wanted to explore it as a terminal device option. She had reduced function in her sound arm, which made precise grip and daily task function a priority. Clinical evaluation showed limited viable control sites on her upper arm, which ruled out a fully powered myoelectric elbow.<\/p>\n <p>A hybrid configuration offered the practical solution. The fully wireless design of the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> allowed both a body-powered hook and a myoelectric hand to be used through a single socket, connected via the standard quick-disconnect wrist adapter. The patient can switch terminal devices depending on the task.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The idea was to give her flexibility. She can function with a hook day to day, but wanted to use a hand when it makes sense.”<\/p>\n <cite>Angelo Russello, senior prosthetist, AlliedOP<\/cite>\n <\/div>\n\n <p>Angelo worked closely with Daniel Green, a clinician at the Open Bionics New York clinic, to review compatibility and system setup throughout the process.<\/p>\n\n <div class=\"inline-quote\">\n <p>“This was a strong collaboration from the start. Our role was to support that process by reviewing compatibility and making sure the components worked together the way Angelo needed them to.”<\/p>\n <cite>Daniel Green, clinician, Open Bionics New York<\/cite>\n <\/div>\n\n <p>The single-socket hybrid approach also addressed practical constraints around insurance coverage and fabrication, reducing the need for additional sockets while supporting long-term adoption.<\/p>\n\n <div class=\"cta-inline\">\n <p>If you have an above-elbow limb difference and want to explore the Hero PRO as a terminal device, ask your prosthetist about Open Bionics. You can also register on our website to get exclusive updates on bionic hands for above-elbow prosthesis users.<\/p>\n <a href=\"https:\/\/openbionics.com\/get-a-hero-arm\/\" class=\"cta-link\" target=\"_blank\">Find a local clinic<\/a>\n \n <a href=\"https:\/\/openbionics.com\/\" class=\"cta-link\" target=\"_blank\" style=\"background:#7764ef;\">Stay updated<\/a>\n <\/div>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">What both levels share<\/span>\n <h2>Regardless of the level, the most important factor in prosthetic success is the clinical team behind the device.<\/h2>\n <p>The hardware matters. The socket fit matters. Comfort matters more than almost anything else, because a device that does not feel right does not get worn, and a device that does not get worn cannot help anyone.<\/p>\n <p>Beverley had worn prosthetic arms for over 40 years before switching to the Hero Arm. The difference she described was not just functional.<\/p>\n\n <div class=\"inline-quote\">\n <p>“It instantly became a part of me and the most comfortable prosthetic limb I have worn in over 40 years. Oh, and that pain I used to have? It’s gone.”<\/p>\n <cite>Beverley, Hero Arm user<\/cite>\n <\/div>\n\n <p>Kristin, a quad amputee, switches between her Hero PRO and a Hero Arm depending on the task. Her bionic arms helped her walk again.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The Hero Arm has helped make walking on my prosthetic legs so much easier because I can grip my cane with my Hero Arm. It is wild how confident my Hero Arm makes me feel while I walk, go up and down stairs, and sit or stand.”<\/p>\n <cite>Kristin, Hero Arm user<\/cite>\n <\/div>\n\n <p>What both levels share is the goal of getting the most out of life. Your clinical team at Open Bionics and our partner clinics will work with each person to fit the right device to your specific goals.<\/p>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Getting started<\/span>\n <h2>Knowing your level is helpful, but a free consultation is where you’ll learn your options.<\/h2>\n <p>Whether your limb difference is below or above the elbow, a conversation with a specialist is where you move from general information to a plan that fits your specific anatomy, goals, and life.<\/p>\n <p>We operate specialist upper limb clinics across the United States. People with below-elbow limb differences can book a free consultation directly. Those with above-elbow limb differences can speak with their prosthetist about accessing the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> as a terminal device, or register on our website to stay updated on bionic hands for above-elbow users.<\/p>\n <\/section>\n\n \n <div class=\"cta-block\">\n <h3>Ready to explore your options?<\/h3>\n <p>Speak with an Open Bionics clinician at no cost. Every consultation is free, and there is no commitment required.<\/p>\n <a href=\"https:\/\/openbionics.com\/get-a-hero-arm\/\" class=\"cta-btn\" target=\"_blank\">Book a free consultation<\/a>\n <\/div>\n <\/ul>\n <\/div>\n\n<\/div>\n\n<\/body>\n<\/html>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Below elbow or above elbow limb difference? Learn how prosthetic options differ at each level, and where the Hero Arm and Hero PRO fit into the picture.<\/p>\n","protected":false},"author":30,"featured_media":21041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[122],"tags":[112,123,94,104,36],"class_list":["post-22178","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-upper-limb-prosthetics-and-care","tag-bionic-arm","tag-hero-arm","tag-hero-pro","tag-hero-rgd","tag-limb-difference"],"acf":[],"yoast_head":"\n<title>Above the Elbow vs. Below the Elbow: Your Prosthetic Options - Open Bionics<\/title>\n<meta name=\"description\" content=\"Below elbow or above elbow limb difference? Learn how prosthetic options differ at each level, and where the Hero Arm and Hero PRO fit into the picture.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/openbionics.com\/above-elbow-below-elbow-prosthetic-options\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Above the Elbow vs. Below the Elbow: Your Prosthetic Options - Open Bionics\" \/>\n<meta property=\"og:description\" content=\"Below elbow or above elbow limb difference? 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}\n\n .cta-inline a.cta-link {\n display: inline-block;\n background: var(--blue);\n color: var(--white);\n font-family: var(--font-body);\n font-size: 14px;\n font-weight: 600;\n text-decoration: none;\n padding: 12px 28px;\n border-radius: 60px;\n }\n\n .cta-block {\n margin-bottom: 0;\n padding: 48px 40px;\n background: var(--gradient);\n border-radius: 16px;\n text-align: center;\n color: var(--white);\n }\n\n .cta-block h3 {\n font-family: var(--font-display);\n font-size: clamp(24px, 3vw, 32px);\n line-height: 1.2;\n margin-bottom: 16px;\n font-weight: 400;\n color: var(--white);\n }\n\n .cta-block p {\n font-family: var(--font-body);\n font-size: 16px;\n line-height: 1.6;\n color: var(--white);\n opacity: 0.9;\n margin-bottom: 32px;\n max-width: 480px;\n margin-left: auto;\n margin-right: auto;\n }\n\n .cta-btn {\n display: inline-block;\n background: var(--white);\n color: var(--purple);\n font-family: var(--font-body);\n font-size: 14px;\n font-weight: 600;\n text-decoration: none;\n padding: 14px 36px;\n border-radius: 60px;\n transition: transform 0.2s, box-shadow 0.2s;\n box-shadow: 0 4px 20px rgba(0,0,0,0.15);\n }\n\n .cta-btn:hover {\n transform: translateY(-2px);\n box-shadow: 0 8px 28px rgba(0,0,0,0.2);\n }\n\n .editorial-note {\n margin-top: 64px;\n padding: 20px 24px;\n background: #fffbea;\n border-left: 3px solid #f0c040;\n border-radius: 0 8px 8px 0;\n font-family: var(--font-body);\n font-size: 13px;\n color: #666;\n line-height: 1.6;\n }\n\n .editorial-note strong {\n color: #333;\n display: block;\n margin-bottom: 8px;\n font-size: 11px;\n letter-spacing: 1.4px;\n text-transform: uppercase;\n }\n\n .editorial-note ul { padding-left: 16px; margin-top: 6px; }\n .editorial-note ul li { margin-bottom: 4px; }\n\n @media (max-width: 600px) {\n .compare-grid { grid-template-columns: 1fr; }\n .pull-quote { padding: 32px 24px; }\n .pull-quote::before { font-size: 80px; }\n .cta-block { padding: 36px 24px; }\n }\n <\/style>\n<\/head>\n<body>\n\n<div style=\"max-width:740px;margin:0 auto;padding:0 24px;\">\n\n \n <div class=\"intro-block\">\n <p>When people begin researching prosthetic options for an upper limb difference, one of the first questions they face is also one of the most fundamental: what level is the limb difference, and what does that mean for what is available?<\/p>\n <p>The distinction between a below-elbow and above-elbow limb difference shapes almost every aspect of the prosthetic journey. The control mechanisms work differently. The socket complexity differs. The number of joints involved changes what the device needs to do. So do the options.<\/p>\n <p>This guide covers what that difference means in practical terms, what each level makes possible, and where Open Bionics fits into the picture.<\/p>\n <\/div>\n\n <div class=\"divider\"><hr><\/div>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Understanding the levels<\/span>\n <h2>The terms transradial and transhumeral describe where the limb difference occurs, and that location changes everything.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-23-at-7.39.52-PM.png\" alt=\"Diagram showing below elbow and above elbow limb difference levels\" \/>\n <p>A <strong>below-elbow limb difference<\/strong> (the acquired form is called transradial amputation) means the limb is absent or ends between the wrist and the elbow, whether from birth or through acquired limb loss. The elbow joint is intact. The muscles in the forearm that would normally control the wrist and hand are partially or fully present. That remaining musculature is what myoelectric devices use to generate control signals.<\/p>\n <p>An <strong>above-elbow limb difference<\/strong> (the acquired form is called transhumeral amputation) means the limb is absent or ends between the shoulder and the elbow. The elbow joint is absent. Control signals must come from higher up in the arm, typically the biceps and triceps. A prosthetic device at this level needs to replace both elbow and hand function, which significantly increases the complexity of both the hardware and the control system.<\/p>\n <p>Both levels are common across acquired and congenital presentations. The prosthetic path for each is distinct but well-established.<\/p>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Below the elbow<\/span>\n <h2>People with below-elbow limb differences retain the elbow joint, and Open Bionics fits below-elbow patients directly through its US clinics.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2026\/02\/Jason-Hero-RGD.png\" alt=\"Person with below-elbow limb difference using a Hero Arm or Hero PRO\" \/>\n <p>Retaining the elbow means the prosthetic system does not need to replicate elbow function, only the hand and wrist. Open Bionics’ socket is currently designed for below-elbow limb differences, where the complexity of an elbow joint is not a factor. The fully wireless MyoPods can be placed anywhere on the residual limb to detect muscle signals, which are then translated into grip patterns by the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> or <a href=\"https:\/\/openbionics.com\/hero-rgd\/\" target=\"_blank\">Hero RGD<\/a>. Most people learn to use this control system quickly, and with training it becomes intuitive.<\/p>\n <p>The practical result is a device capable of handling real-world demands across work, daily life, and activity. Lucy, a Hero Arm user who works in a warehouse, described what that means in her day-to-day.<\/p>\n\n <div class=\"inline-quote\">\n <p>“I use it every day at work. I can push cages, trollies, and drive any manual handling equipment around the warehouse, as well as using other heavy machinery and equipment.”<\/p>\n <cite>Lucy, Hero Arm user<\/cite>\n <\/div>\n\n <p>Daniel, who works as a technician, found the same was true in his field.<\/p>\n\n <div class=\"inline-quote\">\n <p>“For me the arm has been incredibly useful for my job as a technician because I do a lot of work that generally requires two hands, and it has been more than capable keeping up with the workload.”<\/p>\n <cite>Daniel, Hero Arm user<\/cite>\n <\/div>\n\n <p>The effect goes beyond function. Jio, another Hero Arm user, described a shift in how he experienced himself outside of wearing the device.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The biggest difference is how I now feel when I am not wearing it. I’m totally okay with my limb difference now. I’m not shy about it. It’s just made my life easier. It helped me to accept being different and that it’s cool.”<\/p>\n <cite>Jio, Hero Arm user<\/cite>\n <\/div>\n\n <p>We operate specialist upper limb clinics across the United States and fit people with below-elbow limb differences with the <a href=\"https:\/\/openbionics.com\/hero-arm\/\" target=\"_blank\">Hero Arm<\/a>, <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a>, and <a href=\"https:\/\/openbionics.com\/hero-rgd\/\" target=\"_blank\">Hero RGD<\/a>. Each device is custom-fabricated to the individual’s residual limb, and all clinical appointments are included.<\/p>\n\n <div class=\"compare-grid\">\n <div class=\"compare-card\">\n <h3>Below elbow: what’s preserved<\/h3>\n <ul>\n <li>Elbow joint and function<\/li>\n <li>Forearm musculature for EMG signals<\/li>\n <li>Natural pronation and supination<\/li>\n <li>Shorter prosthetic system needed<\/li>\n <\/ul>\n <\/div>\n <div class=\"compare-card\">\n <h3>Below elbow: prosthetic options<\/h3>\n <ul>\n <li>Myoelectric bionic arm (Hero Arm, Hero PRO, Hero RGD)<\/li>\n <li>Body-powered device<\/li>\n <li>Activity-specific arm (Hero Flex, for eligible patients aged 8+ with forearm 8cm+)<\/li>\n <li>Passive cosmetic prosthesis<\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/section>\n\n \n <div class=\"pull-quote\">\n <p>The level of a limb difference shapes what is possible. It does not set the ceiling for what you can do.<\/p>\n <\/div>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Above the elbow<\/span>\n <h2>People with above-elbow limb differences face greater complexity, but their options have expanded significantly.<\/h2>\n \n <img decoding=\"async\" class=\"section-image\" src=\"https:\/\/openbionics.com\/wp-content\/uploads\/2025\/06\/Above-elbow-myopods.jpg\" alt=\"Person with above-elbow limb difference wearing a prosthetic arm\" \/>\n <p>People with above-elbow limb differences face greater system complexity because the prosthesis must replace both elbow and hand function. Our Hero Flex socket is currently designed for below-elbow limb differences, as it does not include an elbow joint. The Hero PRO’s fully wireless MyoPods can be placed anywhere on the body to detect muscle signals, which is precisely what makes it well-suited as a terminal device in above-elbow systems built by partner prosthetists.<\/p>\n <p>Traditional myoelectric systems for above-elbow users relied on sequential control: the user switches between elbow mode and hand mode using a dual muscle contraction. Every movement requires deliberate thought. More recent advances, including pattern recognition systems and targeted muscle reinnervation (TMR), have improved this significantly by creating additional control sites and allowing more natural, simultaneous movement.<\/p>\n <p>Mike, a military veteran and Hero RGD user, has worn bionic arms for 30 years. His take on where the technology stands now is direct.<\/p>\n\n <div class=\"inline-quote\">\n <p>“I have had 5 other bionic arms over the past 30 years and the last two by far have been the easiest to use and the most unique of them all.”<\/p>\n <cite>Mike, Hero RGD user<\/cite>\n <\/div>\n\n <p>Eric made the trip from Michigan to Chicago with his father-in-law, who had lost his arm in a machine press over 50 years earlier and had never considered a bionic option. Eric described what that appointment meant for his family.<\/p>\n\n <div class=\"inline-quote\">\n <p>“With his age we knew this would be a challenge for him with the technology. However, our prosthetist took an incredible amount of time and has the patience and passion to truly make this experience life changing.”<\/p>\n <cite>Eric, family member of a Hero PRO user<\/cite>\n <\/div>\n\n <div class=\"compare-grid\">\n <div class=\"compare-card\">\n <h3>Above elbow: what changes<\/h3>\n <ul>\n <li>Elbow joint must be replaced<\/li>\n <li>Fewer native EMG control sites<\/li>\n <li>More complex socket and harness system<\/li>\n <li>Elbow and hand function both require control<\/li>\n <\/ul>\n <\/div>\n <div class=\"compare-card\">\n <h3>Above elbow: prosthetic options<\/h3>\n <ul>\n <li>Powered elbow with myoelectric terminal device<\/li>\n <li>Body-powered elbow and hook<\/li>\n <li>Hybrid system (body-powered elbow, myoelectric hand)<\/li>\n <li>Passive cosmetic prosthesis<\/li>\n <\/ul>\n <\/div>\n <\/div>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Hero PRO for above-elbow users<\/span>\n <h2>People with above-elbow limb differences can request the Hero PRO as a terminal device through an Open Bionics partner clinic.<\/h2>\n <p>Open Bionics fits people with below-elbow limb differences directly through its specialist US clinics. Above-elbow presentations require a prosthetist who can fit the full system including the elbow component, and Open Bionics supports those cases through its partner clinic network.<\/p>\n <p>A recent case involving AlliedOP and Open Bionics illustrates how that works in practice. Angelo Russello, a senior prosthetist at AlliedOP, was referred an adult with an above-elbow limb difference who had researched the Hero PRO online and wanted to explore it as a terminal device option. She had reduced function in her sound arm, which made precise grip and daily task function a priority. Clinical evaluation showed limited viable control sites on her upper arm, which ruled out a fully powered myoelectric elbow.<\/p>\n <p>A hybrid configuration offered the practical solution. The fully wireless design of the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> allowed both a body-powered hook and a myoelectric hand to be used through a single socket, connected via the standard quick-disconnect wrist adapter. The patient can switch terminal devices depending on the task.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The idea was to give her flexibility. She can function with a hook day to day, but wanted to use a hand when it makes sense.”<\/p>\n <cite>Angelo Russello, senior prosthetist, AlliedOP<\/cite>\n <\/div>\n\n <p>Angelo worked closely with Daniel Green, a clinician at the Open Bionics New York clinic, to review compatibility and system setup throughout the process.<\/p>\n\n <div class=\"inline-quote\">\n <p>“This was a strong collaboration from the start. Our role was to support that process by reviewing compatibility and making sure the components worked together the way Angelo needed them to.”<\/p>\n <cite>Daniel Green, clinician, Open Bionics New York<\/cite>\n <\/div>\n\n <p>The single-socket hybrid approach also addressed practical constraints around insurance coverage and fabrication, reducing the need for additional sockets while supporting long-term adoption.<\/p>\n\n <div class=\"cta-inline\">\n <p>If you have an above-elbow limb difference and want to explore the Hero PRO as a terminal device, ask your prosthetist about Open Bionics. You can also register on our website to get exclusive updates on bionic hands for above-elbow prosthesis users.<\/p>\n <a href=\"https:\/\/openbionics.com\/get-a-hero-arm\/\" class=\"cta-link\" target=\"_blank\">Find a local clinic<\/a>\n \n <a href=\"https:\/\/openbionics.com\/\" class=\"cta-link\" target=\"_blank\" style=\"background:#7764ef;\">Stay updated<\/a>\n <\/div>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">What both levels share<\/span>\n <h2>Regardless of the level, the most important factor in prosthetic success is the clinical team behind the device.<\/h2>\n <p>The hardware matters. The socket fit matters. Comfort matters more than almost anything else, because a device that does not feel right does not get worn, and a device that does not get worn cannot help anyone.<\/p>\n <p>Beverley had worn prosthetic arms for over 40 years before switching to the Hero Arm. The difference she described was not just functional.<\/p>\n\n <div class=\"inline-quote\">\n <p>“It instantly became a part of me and the most comfortable prosthetic limb I have worn in over 40 years. Oh, and that pain I used to have? It’s gone.”<\/p>\n <cite>Beverley, Hero Arm user<\/cite>\n <\/div>\n\n <p>Kristin, a quad amputee, switches between her Hero PRO and a Hero Arm depending on the task. Her bionic arms helped her walk again.<\/p>\n\n <div class=\"inline-quote\">\n <p>“The Hero Arm has helped make walking on my prosthetic legs so much easier because I can grip my cane with my Hero Arm. It is wild how confident my Hero Arm makes me feel while I walk, go up and down stairs, and sit or stand.”<\/p>\n <cite>Kristin, Hero Arm user<\/cite>\n <\/div>\n\n <p>What both levels share is the goal of getting the most out of life. Your clinical team at Open Bionics and our partner clinics will work with each person to fit the right device to your specific goals.<\/p>\n <\/section>\n\n \n <section class=\"section\">\n <span class=\"section-label\">Getting started<\/span>\n <h2>Knowing your level is helpful, but a free consultation is where you’ll learn your options.<\/h2>\n <p>Whether your limb difference is below or above the elbow, a conversation with a specialist is where you move from general information to a plan that fits your specific anatomy, goals, and life.<\/p>\n <p>We operate specialist upper limb clinics across the United States. People with below-elbow limb differences can book a free consultation directly. Those with above-elbow limb differences can speak with their prosthetist about accessing the <a href=\"https:\/\/openbionics.com\/hero-pro\/\" target=\"_blank\">Hero PRO<\/a> as a terminal device, or register on our website to stay updated on bionic hands for above-elbow users.<\/p>\n <\/section>\n\n \n <div class=\"cta-block\">\n <h3>Ready to explore your options?<\/h3>\n <p>Speak with an Open Bionics clinician at no cost. Every consultation is free, and there is no commitment required.<\/p>\n <a href=\"https:\/\/openbionics.com\/get-a-hero-arm\/\" class=\"cta-btn\" target=\"_blank\">Book a free consultation<\/a>\n <\/div>\n <\/ul>\n <\/div>\n\n<\/div>\n\n<\/body>\n<\/html>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Below elbow or above elbow limb difference? Learn how prosthetic options differ at each level, and where the Hero Arm and Hero PRO fit into the picture.<\/p>\n","protected":false},"author":30,"featured_media":21041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[122],"tags":[112,123,94,104,36],"class_list":["post-22178","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-upper-limb-prosthetics-and-care","tag-bionic-arm","tag-hero-arm","tag-hero-pro","tag-hero-rgd","tag-limb-difference"],"acf":[],"yoast_head":"\n<title>Above the Elbow vs. Below the Elbow: Your Prosthetic Options - Open Bionics<\/title>\n<meta name=\"description\" content=\"Below elbow or above elbow limb difference? 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