Targeted muscle reinnervation in the initial management of traumatic upper extremity amputation injury

Jennifer E. Cheesborough, Jason M. Souza, Gregory A. Dumanian, Reuben A. Bueno

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Targeted muscle reinnervation (TMR) was initially designed to provide cortical control of upper limb prostheses through a series of novel nerve transfers. Early experience has suggested that TMR may also inhibit symptomatic neuroma formation. We present the first report of TMR performed at the time of a traumatic shoulder disarticulation. The procedure was done to prevent painful neuroma pain and allow for myoelecteric prosthetic use in the future. Eight months post-operatively, the patient demonstrates multiple successful nerve transfers and exhibits no evidence of neuroma pain on clinical exam. Using the Patient Reported Outcomes Measurement Information System (PROMIS), the patient demonstrates minimal pain interference or pain behavior. Targeted muscle reinnervation may be considered in the acute trauma setting to prevent neuroma pain and to prepare patients for myoelectric prostheses in the future.

Original languageEnglish (US)
Pages (from-to)253-257
Number of pages5
JournalHand
Volume9
Issue number2
DOIs
StatePublished - Jun 2014

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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