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Surgical Rehabilitation of the Upper Limb in Tetraplegia summarises all knowledge available on the management of the upper limb in tetraplegics. It gives full coverage of the process of patient evaluation, outlines spinal cord injuries in relation to the upper limb, and reviews both surgical and non-surgical rehabilitation in every type of patient, from the very weak to the strong. For every clinical situation the absolute indications and contraindications, operative detail, post-operative management, expected outcome and common complications are reviewed so that the clinician is able to make a clear decision as to the best course of action in each type of patient. Every aspect of rehabilitation is covered in detail, making this a one-stop resource for both clinicians and therapists All surgical options are reviewed, giving surgical detail, post-operative care, possible complications, expected outcomes and salvage procedures Every class of patient is covered individually, from the very weak to the strong, and recommendations are made on the best clinical choice in each class of patient Hentz is one of the world leaders in upper limb rehabilitation, and the French co-author will provide the European perspective on management, so giving a balanced overview of clinical practice worldwide.
This publication updates the important topics covered in the 1st edition. It summarizes all knowledge available on the management of the upper limb in tetraplegics and gives full coverage of the process of patient evaluation, outlines spinal cord injuries in relation to the upper limb, and reviews both surgical and non-surgical rehabilitation in every type of patient.
This issue, "Contemporary Issues Related to Management of the Upper Limb in Persons with Tetraplegia", is the third issue of Hand Clinics dedicated entirely to research and clinical interventions for restoration of hand and arm function in persons with tetraplegia. As a direct result of international collaboration, surgical techniques and assistive technologies for improved upper limb function have greatly advanced - giving persons with spinal cord injury monumental capabilities for engagement in work, self-care and leisure. Moreover, an international and more practical understanding of meaningful outcomes - those that are important to people with tetraplegia - has emerged, enabling researchers and clinicians to better meet the expectations of those receiving upper limb care. This issue of Hand Clinics addresses contemporary principles related to the upper limb in tetraplegia - outcomes assessments and measurement issues, surgical technique and rehabilitation of elbow extension transfers and management of the hand of persons with incomplete injuries. In addition, contemporary perspectives internationally will be summarized and presented. Lastly and with much enthusiasm, topics related to shoulder modeling and wheelchair propulsion will be introduced as important areas of consideration when managing the upper limb of persons with spinal cord injury.
Restoration of Functions in Upper Limb Paralyses and Muscular Defects provides the necessary information for the surgical management of muscular defects and neurobiological disorders of the upper extremity and details the restoration of essential functions in this area. This text examines: Upper extremity paralysis and muscular deficits Free muscle transfer Obstetrical paralyses: primary surgery Volkmann syndrome The tetraplegic upper limb Physiology of nerve regeneration Electrodiagnosis studies Pathological mechanics Drawing on extensive practical clinical experience, the contributors to this volume present practitioners working with these afflicted patients with an authoritative, insightful resource to find solutions for a range of paralysis challenges and further enhance their practice.
Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity is a well-illustrated, state-of-the-art reference on the science and practice of post-amputation care, prosthetic restoration, and functional rehabilitation, designed to maximize patient independence and quality of life. Chapters are written by physiatrists, prosthetists, surgeons, and therapists at the University of Michigan, clinicians and teachers who work with amputees on a daily basis. Clinically oriented, it covers both lower and upper extremity restoration and rehabilitation and serves as a handy reference for busy practitioners to support sound clinical decision-making. Beginning with basic anatomy, kinesiology, and a recap of surgical decisions principles and post-operative care for amputees, the book discusses biomechanics, clinical assessment, prosthetic options, how to write a complete and detailed prescription for the prosthesis, restoration and management of specific problems by region, and rehabilitation programs and strategies. Common medical issues such as phantom limb sensation and pain, skin problems, and sexual and psychological considerations are discussed as well. In-depth coverage of prosthetic restoration is provided for special populations such as infants, children, the elderly, athletes multi-extremity amputees, and those who have lost limbs to cancer. Chapters are written in expanded outline format for ease of use and feature numerous full-color diagrams, photos, and other illustrations. This text will guide physicians, trainees, and other members of the care team through the fundamentals of restoring function to individuals who have lost limbs or body parts. Key Features: Provides a state-of-the-art, accessible, clinical approach to post-amputation care, prosthetic restoration, and functional rehabilitation Covers both upper and lower extremities Addresses prostheses for special populations and sports and recreation Includes boxed clinical pearls at the start of each chapter, illustrated quick reference tables, and full-color photos throughout Supports clinical decision making and addresses practical questions and problems Advises on new requirements for Medicare and Medicaid patients, and includes patient education materials and sample prescription forms that can be customized for use in any clinic Outlines important information for returning to the community after amputation "
Each year in the United States, an estimated 40,000 persons lose a limb. Of these amputees, approximately 30% lose a hand or an arm. This loss is most frequently related to trauma occurring in the healthy young adult male and is often work related. Approximately 3% of all amputees are born with congenital limb absence. In children, the ratio of congenital to acquired amputation is 2: 1, and the ratio of upper-limb to lower-limb amputees is 1. 2: 1. Therefore, since relatively few amputations result in upper-limb loss, only a small number of health practitioners, even those specializing in amputee rehabilitation, have the opportunity to provide services for a significant number of arm amputees. As a result, clinicians need to share their experiences so that the full range of options for optimum care and rehabilitation of the patient population may be considered. To meet this challenge for wider communication of clinical experience, a group of upper-limb amputee specialists met in Houston, Texas, in 1981 to serve as the core faculty for a course entitled "Contemporary Issues in Upper Extremity Amputation and Prosthetic Function. " This program provided the opportunity for surgeons, physiatrists, engineers, prosthetists, social workers, psychologists, occupational therapists, and physical therapists from the United States and Canada to discuss their extensive experience in working with upper extremity amputees. A second conference continuing the discussion of upper limb amputee rehabilitation was held one year later.
With the combined expertise of leading hand surgeons and therapists, Rehabilitation of the Hand and Upper Extremity, 6th Edition, by Drs. Skirven, Osterman, Fedorczyk and Amadio, helps you apply the best practices in the rehabilitation of hand, wrist, elbow, arm and shoulder problems, so you can help your patients achieve the highest level of function possible. This popular, unparalleled text has been updated with 30 new chapters that include the latest information on arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management. An expanded editorial team and an even more geographically diverse set of contributors provide you with a fresh, authoritative, and truly global perspective while new full-color images and photos provide unmatched visual guidance. Access the complete contents online at www.expertconsult.com along with streaming video of surgical and rehabilitation techniques, links to Pub Med, and more. Provide the best patient care and optimal outcomes with trusted guidance from this multidisciplinary, comprehensive resource covering the entire upper extremity, now with increased coverage of wrist and elbow problems. Apply the latest treatments, rehabilitation protocols, and expertise of leading surgeons and therapists to help your patients regain maximum movement after traumatic injuries or to improve limited functionality caused by chronic or acquired conditions. Effectively implement the newest techniques detailed in new and updated chapters on a variety of sports-specific and other acquired injuries, and chronic disorders. Keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management See conditions and treatments as they appear in practice thanks to detailed, full-color design, illustrations, and photographs. Access the full contents online with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and regular updates at www.expertconsult.com. Get a fresh perspective from seven new section editors, as well as an even more geographically diverse set of contributors.