not sure if this has been seen here before, if not enjoy
http://singletrack.competitor.com/2012/08/news/an-injured-soldiers-customized-bike-accommodates-his-prosthetic-arm-for-leadville_33735
http://singletrack.competitor.com/2012/08/news/an-injured-soldiers-customized-bike-accommodates-his-prosthetic-arm-for-leadville_33735