Neuroma, Neural interface, and Prosthetics, An Issue of Hand Clinics

1st Edition, Volume 37-3 - July 15, 2021
Editors: Paul Stephen Cederna, Theodore A. Kung
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 5 5 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 5 6 - 5

This issue of Hand Clinics, guest edited by Drs. Paul Cederna and Theodore A. Kung, will cover a number of essential topics surrounding Neuroma, Neural interface, and Prosthetics.… Read more

Neuroma, Neural interface, and Prosthetics, An Issue of Hand Clinics

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This issue of Hand Clinics, guest edited by Drs. Paul Cederna and Theodore A. Kung, will cover a number of essential topics surrounding Neuroma, Neural interface, and Prosthetics. This issue is one of four issues selected each year by series Consulting Editor, Dr. Kevin Chung. Topics in this issue will include: Non-surgical approaches to neuroma management; Traditional Neuroma Management; TMR for the Treatment and Prevention of Neuroma; RPNI for the Treatment and Prevention of Neuroma; Combined TMR and RPNI Techniques for Neuroma Management; Dermal Sensory Peripheral Nerve Interfaces for Neuroma; Brain-Machine Interfaces for Prosthetic Control; Peripheral Nerve Interfaces for Prosthetic Control; Intrafasicular electrodes for prosthetic control; TMR for Prosthetic Control; RPNI for Prosthetic Control; Advanced Neuroprosthetic Devices for Functional Restoration and the AMI for Prosthetic Control; Starfish Procedure; and Lower Extremity Prosthetic Control.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Nonsurgical Approaches to Neuroma Management
Key points
Introduction
Systemic/oral therapies
Therapies for topical application or localized injection
Nonpharmacologic therapies
Summary
Clinics care points
Disclosure
Traditional Neuroma Management
Key points
Introduction
Anatomy and physiology of neuroma
Surgical techniques
Summary
Clinics care points
Targeted Muscle Reinnervation for the Treatment of Neuroma
Key points
Introduction
Prevalence/incidence
Current evidence
Patient selection
Evaluation
Approach
Surgical techniques
Nonamputees
Discussion
Summary
Clinics care points
Disclosure
Regenerative Peripheral Nerve Interfaces for the Treatment and Prevention of Neuromas and Neuroma Pain
Key points
Introduction
Presentation and diagnosis
Treatment
The regenerative peripheral nerve interface
Operative pearls to perform regenerative peripheral nerve interface surgery
Summary
Clinics care points
Disclosure
Nerve Interface Strategies for Neuroma Management and Prevention: A Conceptual Approach Guided by Institutional Experience
Key points
Introduction
Conceptual framework
Clinical strategy: balancing benefits, morbidity, and complexity
Summary
Clinics care points
Dermatosensory Peripheral Nerve Interfaces: Prevention of Pain Recurrence Following Sensory Neurectomy
Key points
Background
Reinnervation of denervated targets to prevent neuroma formation
Case study 1: superficial peroneal and saphenous neurectomies with dermatosensory peripheral nerve interfaces for lower extremity pain
Case study 2: intercostal neurectomy and dermatosensory peripheral nerve interface for chronic breast pain
Summary
Clinics care points
Disclosure
Brain-Machine Interfaces: Lessons for Prosthetic Hand Control
Key points
Introduction
Discussion
Summary
Clinics care points
Fascicle-Specific Targeting of Longitudinal Intrafascicular Electrodes for Motor and Sensory Restoration in Upper-Limb Amputees
Key points
Introduction
Fascicle-specific targeting of longitudinal intrafascicular electrodes
Target populations
Case series
Preoperative assessment
Surgical procedures
Postoperative care
Motor recording/decoding
Sensory stimulation
Case example: partial hand (patient 4)
Case example: transradial (patient 5)
Summary
Future directions
Clinics care points
Supplementary data
Targeted Muscle Reinnervation for Prosthetic Control
Key points
Targeted muscle reinnervation
Summary
Clinics care points
Regenerative Peripheral Nerve Interfaces for Advanced Control of Upper Extremity Prosthetic Devices
Key points
Introduction
Current prosthetic device control strategies
Development of the regenerative peripheral nerve interface
Use of regenerative peripheral nerve interface in humans for prosthetic device control
Future directions and applications of regenerative peripheral nerve interfaces in enhancing prosthetic experience
Summary
Clinics Care Points
Supplementary data
The Agonist-Antagonist Myoneural Interface
Key points
Introduction
Context
Concept and foundational science
Clinical implementation and surgical techniques
Outcomes
Limitations
Summary and future directions
Clinics care points
Starfish Procedure
Key points
Introduction
Indications and contraindications
Surgical technique
Prosthesis use and rehabilitation
Discussion
Future directions
Summary
Clinics care points
Disclosure
Supplementary data
Recommendations for the Successful Implementation of Upper Limb Prosthetic Technology
Key points
Introduction
Barriers to acceptance of commercially available prosthetic technology
Barriers to successful clinical management of patients with upper limb loss
Emerging approaches to improve prosthetic control and comfort
Patient interest in surgical approaches to improve prosthetic control and comfort
Updating clinical practice for emerging technology
Summary
Clinics care points
Disclosure

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Paul Stephen Cederna