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

This issue of Hand Clinics, guest edited by Drs. Paul Cederna and Theodore A. Kung, will cover essential topics surrounding Neuroma, Neural interface, and Prosthetics, including non-surgical approaches, traditional neuroma management, TMR, RPNI, combined techniques, dermal sensory peripheral nerve interfaces, brain-machine interfaces, peripheral nerve interfaces, intrafasicular electrodes, TMR, RPNI, advanced neuroprosthetic devices, and the Starfish procedure.

Format: Hardback
Length: 240 pages
Publication date: 28 July 2021
Publisher: Elsevier - Health Sciences Division

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:
Lower Extremity Prosthetic Control

The management of neuromas, neural interfaces, and prosthetics is a complex and evolving field. In this issue of Hand Clinics, guest edited by Drs. Paul Cederna and Theodore A. Kung, we will delve into a range of essential topics related to these fields.

Non-surgical approaches to neuroma management:
Traditionally, neuroma management has relied on surgical interventions to remove the tumor. However, there are now non-surgical approaches available that offer alternative treatment options. These include cryotherapy, radiofrequency ablation, and percutaneous ethanol injection. Cryotherapy involves freezing the neuroma with liquid nitrogen, which can help shrink the tumor and relieve pain. Radiofrequency ablation uses high-frequency energy to heat the neuroma, causing it to die and shrink. Percutaneous ethanol injection involves injecting alcohol into the neuroma, which can also help shrink the tumor and relieve pain.

Traditional Neuroma Management:
Traditional neuroma management involves surgical resection of the tumor, which is often the most effective treatment option. However, surgical resection can be challenging, especially for larger or more complex neuromas. In some cases, surgical resection may not be possible, and alternative treatment options must be considered. These may include radiation therapy, chemotherapy, or physical therapy. Radiation therapy uses high-energy radiation to kill cancer cells, while chemotherapy uses drugs to kill cancer cells. Physical therapy can help improve range of motion and strength in the affected area.

TMR for the Treatment and Prevention of Neuroma:
TMR (Targeted Muscle Reinnervation) is a surgical technique used to reroute nerve signals to the muscles surrounding the neuroma. This can help reduce pain and improve function in the affected area. TMR involves surgically removing the neuroma and then rerouting the nerve signals to the muscles using a nerve graft. The nerve graft is usually made from a piece of nerve tissue from another part of the body. TMR can be used to treat both new and recurrent neuromas.

RPNI for the Treatment and Prevention of Neuroma:
RPNI (Rational Peripheral Nerve Interface) is a surgical technique used to treat neuromas that have not responded to other treatments. RPNI involves surgically removing the neuroma and then using nerve grafts to connect the remaining healthy nerve fibers to the muscles. This can help restore function and reduce pain in the affected area. RPNI is a relatively new technique, and more research is needed to determine its long-term effectiveness.

Combined TMR and RPNI Techniques for Neuroma Management:
In some cases, neuromas may require a combination of TMR and RPNI techniques to achieve optimal results. Combined TMR and RPNI techniques involve surgically removing the neuroma and then rerouting the nerve signals to the muscles using both TMR and RPNI techniques. This can help improve function and reduce pain in the affected area. Combined TMR and RPNI techniques are still relatively new, and more research is needed to determine their long-term effectiveness.

Dermal Sensory Peripheral Nerve Interfaces for Neuroma:
Dermal sensory peripheral nerve interfaces (DSPNIs) are a new technology used to restore sensory function in patients with neuromas. DSPNIs involve surgically implanting a sensory nerve graft into the affected area. The sensory nerve graft is usually made from a piece of nerve tissue from another part of the body. DSPNIs can be used to restore sensation in the affected area, including touch, pain, and temperature. DSPNIs are still in the early stages of development, and more research is needed to determine their long-term effectiveness.

Brain-Machine Interfaces for Prosthetic Control:
Brain-machine interfaces (BMIs) are a new technology used to control prosthetic limbs. BMIs involve surgically implanting electrodes into the brain that can detect nerve signals from the muscles in the prosthetic limb. The brain can then use these signals to control the movement of the prosthetic limb. BMIs are still in the early stages of development, and more research is needed to determine their long-term effectiveness.

Peripheral Nerve Interfaces for Prosthetic Control:
Peripheral nerve interfaces (PNIs) are a new technology used to control prosthetic limbs. PNIs involve surgically implanting electrodes into the peripheral nerves that control the muscles in the prosthetic limb. The peripheral nerves can then use these signals to control the movement of the prosthetic limb. PNIs are still in the early stages of development, and more research is needed to determine their long-term effectiveness.

Intrafasicular electrodes for prosthetic control:
Intrafasicular electrodes are a new technology used to control prosthetic limbs. Intrafasicular electrodes involve surgically implanting electrodes into the muscles that control the prosthetic limb. The electrodes can then use electrical signals to control the movement of the prosthetic limb. Intrafasicular electrodes are still in the early stages of development, and more research is needed to determine their long-term effectiveness.

TMR for Prosthetic Control:
TMR is a surgical technique used to reroute nerve signals to the muscles surrounding the neuroma. TMR can be used to control prosthetic limbs that have lost function due to neuroma-related pain or injury. TMR involves surgically removing the neuroma and then rerouting the nerve signals to the muscles using a nerve graft. The nerve graft is usually made from a piece of nerve tissue from another part of the body. TMR can be used to control both upper and lower extremity prosthetic limbs.

RPNI for Prosthetic Control:
RPNI is a surgical technique used to treat neuromas that have not responded to other treatments. RPNI involves surgically removing the neuroma and then using nerve grafts to connect the remaining healthy nerve fibers to the muscles. RPNI can be used to control prosthetic limbs that have lost function due to neuroma-related pain or injury. RPNI involves surgically removing the neuroma and then using nerve grafts to connect the remaining healthy nerve fibers to the muscles. RPNI can be used to control both upper and lower extremity prosthetic limbs.

Advanced Neuroprosthetic Devices for Functional Restoration:
Advanced neuroprosthetic devices are a new technology used to restore function in patients with neurological disorders. Advanced neuroprosthetic devices include brain-computer interfaces (BCIs), spinal cord interfaces (SCIs), and peripheral nerve interfaces (PNIs). BCIs are used to control prosthetic limbs by detecting nerve signals from the brain. SCIs are used to control prosthetic limbs by detecting nerve signals from the spinal cord. PNIs are used to control prosthetic limbs by detecting nerve signals from the peripheral nerves. Advanced neuroprosthetic devices are still in the early stages of development, and more research is needed to determine their long-term effectiveness.

Starfish Procedure:
The Starfish procedure is a surgical technique used to treat neuromas that have not responded to other treatments. The Starfish procedure involves surgically removing the neuroma and then using a nerve graft to connect the remaining healthy nerve fibers to the muscles. The nerve graft is usually made from a piece of nerve tissue from another part of the body. The Starfish procedure is still in the early stages of development, and more research is needed to determine its long-term effectiveness.

Lower Extremity Prosthetic Control:
Lower extremity prosthetic control is a surgical technique used to control lower extremity prosthetic limbs. Lower extremity prosthetic control involves surgically implanting electrodes into the muscles that control the prosthetic limb. The electrodes can then use electrical signals to control the movement of the prosthetic limb. Lower extremity prosthetic control is still in the early stages of development, and more research is needed to determine its long-term effectiveness.

In conclusion, the management of neuromas, neural interfaces, and prosthetics is a complex and evolving field. Non-surgical approaches to neuroma management, such as cryotherapy, radiofrequency ablation, and percutaneous ethanol injection, offer alternative treatment options for patients. Traditional neuroma management involves surgical resection of the tumor, which can be challenging, especially for larger or more complex neuromas. TMR, RPNI, and combined TMR and RPNI techniques are surgical techniques used to treat neuromas that have not responded to other treatments. Dermal sensory peripheral nerve interfaces and brain-machine interfaces are new technologies used to restore sensory function and control prosthetic limbs. Advanced neuroprosthetic devices are still in the early stages of development, but they hold the promise of restoring function in patients with neurological disorders. The Starfish procedure is a surgical technique used to treat neuromas that have not responded to other treatments. Lower extremity prosthetic control is a surgical technique used to control lower extremity prosthetic limbs. More research is needed to determine the long-term effectiveness of these treatments and technologies.

Weight: 498g
Dimension: 184 x 265 x 13 (mm)
ISBN-13: 9780323794558