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Implement TMR with Your Patients and Improve Their Quality of LifeDeveloped by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantage
Pediatric Hand and Upper Limb Surgery guides you to the present indications for intervention and care in upper limb pediatric disorders. The fifty chapters are subdivided into: Congenital, Neuromuscular, Trauma, Sports, Soft tissue and Microvascular, and Tumor. Each section stands alone but together provides a comprehensive and detailed description of all elements of evaluation and treatment of infants, children, and adolescents with maladies of the hand and upper limb. Each chapter has a case presentation, series of clinical questions, and fundamentals on etiology and epidemiology, clinical evaluation, and surgical indications. In addition, each chapter details postoperative care, anticipated results, complications, case outcome, and includes a summary. There are technical tip highlights, unique situations and deeper insight into the conditions described in each subsection. The text is complemented with over 1,000 images and illustrations to assist in visualizing the specific surgical challenges you may face.
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.
Arthroplasty of the upper extremity is an established surgical intervention in the management of arthritis of the elbow, wrist and hand. The anatomy, kinematics and demands of the elbow, wrist, thumb CMC, and finger MCP and PIP joints pose unique surgical challenges. Implant design considerations are important in providing a joint that mimics the native joints and maximizes survivorship. However, outcomes are less predictable in these upper extremity joints when compared to the hips and knees. Each joint also carries its own set of potential complications and salvage options for revision and failed arthroplasty. This unique text helps the orthopedic and hand surgeon understand the surgical approaches, unique anatomic considerations, and both the historical and current designs related to each respective joint, enabling the surgeon to better appreciate the benefits and limitations of each arthroplasty. Presenting the current state of the art, the seven sections proceed anatomically from the elbow to the fingers, with each section comprised of three thematic chapters discussing implant design considerations, primary arthroscopy techniques and revision arthroscopy techniques, including non-surgical options for treating these often difficult problems. This consistent approach, accompanied by plentiful figures, radiographs and intraoperative photos, ensures that this will be a user-friendly resource for orthopedic and hand surgeons, residents and trainees.
An understanding of the structure and function of the human body is vital for anyone studying the medical and health sciences. In this book, Leslie Klenerman provides a clear and accessible overview of the main systems of the human anatomy, illustrated with a number of clear explanatory diagrams.
The second edition of this book provides a practical guide to the latest diagnostic and therapeutic techniques in orthopedics for both the upper and lower limb. Extensively revised chapters provide detailed step-by-step instructions on how to perform basic clinical and surface, anatomy examinations on joints including the hand, elbow and ankle. The application of relevant surgical procedures and post-operative management techniques are also detailed. New topics covered include cruciate ligament injuries, and robot assisted surgery. Orthopedics of the Upper and Lower Limb is an ideal resource for trainees and junior surgeons seeking an easy to follow clinical manual on how to successfully diagnose and treat patients with orthopedic disorders affecting both limbs. It is also of use to the experienced practitioner seeking a detailed resource on the latest advances in the field.
This book combines orthopedists’ and radiologists’ perspectives to provide a comprehensive overview of the rapidly expanding use of ultrasound in orthopedic surgery. It also highlights the growing awareness of the potential of this non-invasive and portable, real-time imaging tool, which has led to its inclusion in the minimally invasive toolkit of upper limb surgeons. The book is divided into five parts – shoulder, elbow, forearm, hand and wrist and fingers. Each part focuses on a particular anatomic region or joint, carefully analyzing the sonoanatomy of its nerves, tendons and bones. For each region, experienced experts illustrate how to perform specific techniques under ultrasound control, ranging from classic procedures, like carpal tunnel release, to the treatment of less common conditions. Covering all the basic and practical aspects of this innovative, multi-disciplinary approach, as well as future perspectives, this unique book is a must-read for all orthopedists, radiologists, sports physicians and physiotherapist wanting to gain insights into this promising field.
The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.
In addition to complementary radiographic imaging, the physical exam is an essential diagnostic element for the orthopedic surgeon. As such, learning to perform this exam thoroughly is of utmost importance to medical students, residents and interns on an orthopedic rotation and in later practice. This practical text succinctly presents all of the necessary information regarding the physical examination of the upper extremity. The hand, wrist, elbow and shoulder are discussed in dedicated thematic sections, with each section comprised of three main chapters. The initial chapter describes the musculoskeletal anatomy and function of the joint, presenting the tests themselves along with the rationale for performing them. The second chapter presents the systematic examinations carried out in every case, and the third chapter describes examinations for specific conditions relating to the joint, including tendinopathies, osteoarthritis, neurological conditions, deformities, and more. Plentiful bullet points and color images throughout the text describe and illustrate each test and physical sign. Convenient and user-friendly, Handbook of Upper Extremity Examination is a valuable, portable guide to this all-important diagnostic tool for students and practitioners alike.