In the United States 22 years ago a truck hit the side of the car in which she was a passenger, demolished the car and her arm with it.
Body image is very important to a woman.
A young woman to whom amputation has just happened feels devastated - totally. You don't feel a whole person anymore. You don't feel the same as other people. People stare at you when you haven't got your prosthesis on. You can't wear what you want to, sleeveless dresses etc.