Limb Deficiency and/or Limb Length Difference

Unilateral below elbow amputation. Residual limb is unable to hold and use a ski pole.

Unilateral through ankle amputation (Symes amputation)

7 cm

Leg Length Difference. The difference in length between right and left legs must be 7cm or more to meet eligibility. To measure, the Athlete must lie supine with legs relaxed and fully extended. Measure from the inferior aspect of the anterior superior iliac spine to the inferior aspect of the tip of the medial malleolus on each leg and then compare.

Limb Deficiency – Lower Limb. Unilateral: Complete unilateral amputation of half the length of the foot (i.e., measured on the non-amputated foot from the tip of the great toe to the posterior aspect of calcaneus) or equivalent congenital limb deficiency; or Unilateral dysmelia in which the length of the affected foot is less than or equal to 50% of the length of the unaffected foot. Bilateral: No anatomically intact metatarsals in both the left and right foot.

Limb Deficiency – Upper Limb, eligible for all running (100m–marathon) and jumping Events. Unilateral: Unilateral amputation, through or above elbow; or Unilateral dysmelia in which the length of the affected arm measured from acromion to wrist is equal in length or shorter than the humerus of the unaffected arm (i.e., the length of the hand is not taken into account). Bilateral: Bilateral amputation through or above wrist (i.e., no carpal bones present in either wrist); Arthrodesis of the wrist joint/s does not meet eligibility requirements; or Bilateral dysmelia in which the combined length of the upper limbs measured from acromion to the most distal point of affected limb is ≤ 0.646 x standing height (the length of a normal humerus [0.193 x standing height] + length of a normal arm [0.453 x standing height]).

Limb Deficiency – Upper Limb, eligible ONLY for running Events from 100m to 400m and jumping Events (i.e., Athletes meeting these criteria but not the criteria in Section 2.1.4.2.1). Unilateral: Unilateral amputation, through or above wrist (i.e., no carpal bones present in affected limb); or Unilateral dysmelia in which the length of the affected arm measured from acromion to the most distal point of affected limb is equal in length or shorter than the combined length of the humerus and the radius of the unaffected arm.

Unilateral upper limb Limb Deficiency, eligible for throwing Events (criteria differ from running/jumping Events). An Athlete must have one upper limb meeting: unilateral amputation, through or above wrist (i.e., no carpal bones present in affected limb) -- an arthrodesed wrist joint is not eligible; or unilateral dysmelia in which the length of the affected arm measured from acromion to the most distal point of the affected limb is equal in length or shorter than the combined length of the humerus and the radius of the unaffected arm.

Bilateral upper limb Limb Deficiency, eligible for throwing Events (criteria differ from running/jumping Events; both upper limbs must separately meet the MIC). Complete amputation of at least 4 digits (excluding or including the thumb) from at least the metacarpophalangeal joint, or amputation of thumb and thenar eminence, or equivalent congenital deformity, in each upper limb.

1) Unilateral amputation of half of the foot, measured on the non-amputated foot from the tip of the great toe to the posterior aspect of calcaneus. OR 2) Congenital Limb Deficiency or dysmelia equivalent to the above description.

Leg Length Difference: The difference in length between right and left leg should be at least 7 cm. Measurements to be taken from the inferior aspect of the anterior superior iliac spine to the most medial tip of medial malleolus on same side.

Non-playing arm: ONE of the following patterns of impairment: 1) Unilateral amputation, through or above wrist (i.e., no carpal bones present in affected limb). 2) Unilateral dysmelia in which the length of the affected arm measured from acromion to fingertip is equal in length or shorter than the combined length of the humerus and the radius of the unaffected arm.

Leg Length Difference: Comparable to Limb Deficiency.

Player must have ONE of the following criteria: 1) Unilateral amputation above the knee with a stump length not more than half of the upper leg measured on the non-amputated leg from the spina iliaca anterior superior (ASIS) to the medial knee (mid joint on medial site) articulation. Stump should be measured from ASIS to the end of the bony part on the medial side (by palpation). OR 2) Bilateral amputation: one amputation through or above the knee and the other below the knee (ankle completely missing). OR Congenital Limb Deficiency equivalent to condition (1) or (2) above.

Limb Deficiency Upper Limb: Unilateral amputation or deficiency of 6 DIP or PIP joints in one or across both hands. Lower Limb: Unilateral amputation or deficiency through the distal limb with the absence of a functional ankle joint. Limb Length Difference Leg length difference as a minimum of 20% reduction in limb length compared with the longer limb. Lower limb measurements are to be taken from the anterior superior iliac spine to the tip of the ipsilateral medial malleolus. Upper limb measurements are to be taken from the acromion to the most distal part of the upper limb and will follow any postural deformity.

Limb Deficiency - Upper Limb - Amputation of all fingers and thumb through MCP (or dysmelia with no functional grip - Muscle Grade 0). Lower Limb - Amputation of the foot through Lisfranc or comparable dysmelia.

Leg Length Difference - The difference in length between right and left legs must be equal to or more than 7cm.

Leg Length Difference - For Athletes with Leg Length Difference, there must be at least 200mm difference between both leg measures for such Athletes to have an Eligible Impairment.

Limb Deficiency — An Athlete will be allocated a total point score for the Physical Assessment (based on individual point scores awarded in the Physcial Assessment tests). An Athlete must lose a minimum of fifteen (15) points in the Physical Assessment (scoring resulting from Sections 4-7 of this Appendix) to continue to the Technical Assessment. If fifteen (15) points are not lost after the Physical Assesement the Athlete must be allocated Not Eligible (NE) and the Technical Assessment will not be conducted. If following the Technical Assessment, the Athlete loses less than fifteen (15) points, the Athlete is deemed Not Eligible (NE).

A Player meets MIC if they comply with the following criteria: Difference in length between right and left legs of 6 cm or greater, as measured from the anterior superior iliac spine to the medial malleolus, with the athlete lying supine.

A player meets MIC if they comply with one of the following criteria: Complete unilateral amputation of the first metatarsal and phalanx. OR Complete bilateral amputation of either: both first phalanges; or first phalanx on one foot and two phalanges (from phalanx 2-5) on the other foot; or two phalanges (from phalanx 2-5) on both feet. OR Equivalent congenital limb deficiency or dysmelia.

For Wheelchair Curling, only lower-limb Limb Deficiency is considered in Athlete Evaluation. Athletes must meet at least one of the following Minimum Impairment Criteria: Bilateral below knee / trans-tibial amputation : through ankle amputation (Symes amputation) is not eligible; or Unilateral hip disarticulation; or Bilateral congenital Dysmelia equivalent to bilateral trans-tibial amputation. 2.5.1 Multiple Sub-minimal impairments: Unilateral above knee amputation and muscle strength in the other leg of less than 25/40 (Article 3.1.2) is also accepted as meeting the Minimum Impairment Criteria.