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Upper Extremity Neuromuscular Disorders

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Rehabilitative Surgery

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Abstract

Medical caregivers of patients with upper extremity neuromuscular disorders should use a multidisciplinary approach in order to maximize their patients’ function and minimize related adverse events. Nonsurgical treatment options are often trialed initially and typically consist of one or more of the following: limb-specific therapy including stretching and strengthening, functional or hygienic splinting, sensory and/or motor reeducation, and oral or injectable medications. Surgical treatment options can be broadly considered within one or more of the following categories: local nerve repair, grafting, or transfers; local tendon grafting or transfers, free muscle, tendon, and/or nerve flap transfers involving microsurgery; and joint releases, reconstructions, or fusions.

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References

  1. Buckwalter JA, Einhorn TA, Simon SR. Orthopaedic basic science: biology and biomechanics of the musculoskeletal system. 2nd ed. Rosemont: American Academy of Orthopaedic Surgeons; 2000.

    Google Scholar 

  2. Jupiter JB, Ring DC. AO Manual of fracture management: hand and wrist. Stuttgart: Thieme; 2005.

    Google Scholar 

  3. Means Jr KR, Graham TJ. Disorders of the forearm axis. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, editors. Green’s operative hand surgery. 6th ed. Philadelphia: Elsevier; 2011. p. 837–68.

    Chapter  Google Scholar 

  4. Schütz M, Südkamp NP. Revolution in plate osteosynthesis: new internal fixator systems. J Orthop Sci. 2003;8:252–8.

    Article  PubMed  Google Scholar 

  5. Teboul F, Bizot P, Kakkar R, Sedel L. Surgical management of trapezius palsy. J Bone Joint Surg Am. 2004;86-A:1884–90.

    Article  CAS  PubMed  Google Scholar 

  6. Kozin SH. The evaluation and treatment of children with brachial plexus birth palsy. J Hand Surg Am. 2011;36:1360–9.

    Article  PubMed  Google Scholar 

  7. Harryman II DT, Walker ED, Harris SL, Sidles JA, Jackins SE, Matsen III FA. Residual motion and function after glenohumeral or scapulothoracic arthrodesis. J Shoulder Elbow Surg. 1993;2:275–85.

    Article  PubMed  Google Scholar 

  8. Anderson KD, Friden J, Lichen RL. Acceptable benefits and risks associated with surgically improving arm function in individuals living with cervical spinal cord injury. Spinal Cord. 2009;47:334–8.

    Article  CAS  PubMed  Google Scholar 

  9. Mackinnon SE, Novak CB, Myckatyn TM, Tung TH. Results of reinnervation of the biceps and brachialis muscles with a double fascicular transfer for elbow flexion. J Hand Surg Am. 2005;31:183–9.

    Google Scholar 

  10. Kozin SH, D’Addesi L, Chafetz RS, Ashworth S, Mulcahey MJ. Biceps-to-Triceps transfer for elbow extension in person with tetraplegia. J Hand Surg. 2010;35A:968–75.

    Article  Google Scholar 

  11. Young JH. Implications of elbow arthrodesis for individuals with paraplegia. Phys Ther. 1993;73:194–201.

    Article  CAS  PubMed  Google Scholar 

  12. Davidge KM, Yee A, Kahn LC, Mackinnon SE. Median to radial nerve transfers for restoration of wrist, finger, and thumb extension. J Hand Surg Am. 2013;38:1812–27.

    Article  PubMed  Google Scholar 

  13. Rayan GM, Young BT. Arthrodesis of the spastic wrist. J Hand Surg Am. 1999;24:944–52.

    Article  CAS  PubMed  Google Scholar 

  14. Terzis JK, Kostopoulos VK. Free muscle transfer in posttraumatic plexopathies: part III. The hand. Plast Reconstr Surg. 2009;124:1225–36.

    Article  CAS  PubMed  Google Scholar 

  15. Goldner JL, Koman LA, Gelberman R, Levin S, Goldner RD. Arthrodesis of the metacarpophalangeal joint of the thumb in children and adults. Adjunctive treatment of thumb-in-palm deformity in cerebral palsy. Clin Orthop Relat Res. 1990;253:75–89.

    Google Scholar 

  16. Lomita C, Ezaki M, Oishi S. Upper extremity surgery in children with cerebral palsy. J Am Acad Orthop Surg. 2010;18:160–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. The Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 N. Calvert St., JPB 2nd Floor, Johnston Professional Building # 200, Baltimore, MD, 21218, USA

    Kenneth R. Means MD, Christopher L. Forthman MD, W. Hugh Baugher MD, Ryan D. Katz MD, Raymond A. Wittstadt MD & Keith A. Segalman MD

Authors
  1. Kenneth R. Means MD
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  2. Christopher L. Forthman MD
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  3. W. Hugh Baugher MD
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  4. Ryan D. Katz MD
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  5. Raymond A. Wittstadt MD
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  6. Keith A. Segalman MD
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Corresponding author

Correspondence to Kenneth R. Means MD .

Editor information

Editors and Affiliations

  1. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Andrew I. Elkwood

  2. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Matthew Kaufman

  3. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Lisa F. Schneider

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© 2017 Springer International Publishing Switzerland

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Means, K.R., Forthman, C.L., Baugher, W.H., Katz, R.D., Wittstadt, R.A., Segalman, K.A. (2017). Upper Extremity Neuromuscular Disorders. In: Elkwood, A., Kaufman, M., Schneider, L. (eds) Rehabilitative Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41406-5_24

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  • DOI: https://doi.org/10.1007/978-3-319-41406-5_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-41404-1

  • Online ISBN: 978-3-319-41406-5

  • eBook Packages: MedicineMedicine (R0)

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