Ajul Shah

Implementation of a Custom 3D-Printed Near-Immediate Postoperative Prosthesis after Upper Limb Amputation

Miriam Meghnagi, Matthew J. Mikosz, Jamie Mauro, Alta Fried et autres

Introduction: Delays in prosthesis implementation after upper limb amputations (ULA) can prolong rehabilitation and contribute to prosthetic disuse. Prosthetic fitting within the first 30 days after amputation, referred to as the “golden period,” has historically been associated with improved longitudinal outcomes and …

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Magnetic Resonance Neurography Detection of the Wedge-Sickle Sign Fibromuscular Bands in Neurogenic Thoracic Outlet Syndrome

Delaram Shakoor, Ajul Shah, Ek Tsoon Tan, Sophie C. Queler et autres

CASE: A 17-year-old girl presented with chronic right arm numbness, cramping, burning pain, and weakness. Initial nerve studies showed slowing in the median and ulnar nerves, but an outside magnetic resonance imaging was negative. Repeat magnetic resonance neurography (MRN) revealed right C8 …

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Residual muscle activity associated with phantom limb movements after transhumeral amputation without surgical reinnervation: a preliminary ultrasound study

Susannah M. Engdahl, Ahmed Bashatah, György Lévay, Rahul R. Kaliki et autres

Transhumeral amputations often result in significant functional limitations. Multiarticulated myoelectric prostheses for individuals with transhumeral amputations are often unreliable because of limitations in signal quality and challenges with accurately detecting motion intent from the available musculature in the residual limb, leading to …

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Diaphragmatic Paralysis Following Thoracic Outlet Decompression: An Evaluation of Secondary Phrenic Nerve Reconstruction for Salvage

Matthew R. Kaufman, Ajul Shah, Robert T. Nevitt, Reza Jarrahy et autres

BACKGROUND: Thoracic outlet syndrome (TOS) involves the compression of neurovascular structures within the thoracic outlet, defined as a space at the base of the neck, superior to the first rib and posterior to the clavicle. Surgical management most commonly requires a supraclavicular …

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Current diagnostic methods for detecting avascular necrosis and irreversible bone death of the proximal pole of the scaphoid: a systematic review

Sophia Jacobi, Emily Davidovic-Katz, Samara Moll, Janos Barrera et autres

INTRODUCTION: Owing to the scaphoid's retrograde blood supply, fractures can compromise perfusion to the proximal pole, making it vulnerable to avascular necrosis (AVN) or irreversible bone death. Despite their differing prognoses, both conditions are evaluated using the same diagnostic methods. This review …

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Mental Health

Amanda Azer, Tara Lally, Alta Fried, Ajul Shah et autres

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Relative Motion Extension Splint for Treatment of Flexor Tendon Adhesions: Proof of Concept

Nicole Badalyan, Brian Bueno, Alta Fried, Jared Escobar et autres

Background: Incorporating relative motion extension splints (RMES) during active range of motion (AROM) exercises positions flexor tendons in relative extension, increasing tendon excursion during flexion. Enhanced excursion and differential glide between the flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP) tendons …

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Pain After Brachial Plexus Injury Surgery: Variability in Reporting

Anna Zakusylo, Aryan Borole, Evan Lobato, Andrew Baddoo et autres

Pain is a major contributor to morbidity following brachial plexus injury (BPI), yet pain-related outcomes are inconsistently reported. The extent of postoperative pain improvement after surgical reconstruction remains unclear due to variable measurement techniques and nonstandardized reporting intervals. A systematic review was …

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Triple Nerve Transfer to Treat West Nile–Induced Neuropathy: A Novel Approach to a Complex Problem

Kikelola Afolabi-Brown, Anirudh Kulkarni, Ajul Shah

CASE: A 49-year-old woman with West Nile encephalitis presented with right arm paralysis and left arm weakness. After limited success with nonsurgical treatments, she underwent surgery involving 3 nerve transfers based on brachial plexus reconstruction techniques. This led to gradual improvement in …

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Bionic Reconstruction for the Nonfunctional, Painful Hand: Optimizing Pre/Intra/Postoperative Treatment Using Elective Transradial Amputation and Targeted Muscle Reinnervation/Regenerative Peripheral Nerve Interface

Anirudh Kulkarni, John An Kuang Chao, Alta Fried, Ajul Shah

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A Novel Atraumatic Polymer-Assisted Peripheral Nerve Repair Device Compared With Microsurgical Neurorrhaphy

Diep Nguyen, Estelle C. Collin, Ricardo de Miguel, Edouard Reyes‐Gomez et autres

Purpose To evaluate the ability of a polymer-assisted device to repair transected peripheral nerve in comparison to microsuture neurorrhaphy. Methods Twenty rat sciatic nerves were transected and repaired using either the polymer-assisted system or microsutures. Peripheral nerve functional recovery was evaluated through …

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Reconstruction and Regeneration of Composite Fingertip Injuries Using Acellular Bladder Matrix

Usman Zareef, Anna Gréen, Caroline M. Moore, Hari Subramaniam Iyer et autres

Purpose: Traumatic fingertip amputations are one of the most encountered injuries in the emergency department requiring evaluation by a hand surgeon. Current management strategies vary widely. We describe the use of acellular urinary bladder matrix (UBM) in complex distal fingertip injuries involving …

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