Techniques for hand

Treatments, Rehabilitation, and Recovery
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levifitz
Posts: 6
Joined: Thu Sep 13, 2012 3:31 am
Injury Description, Date, extent, surgical intervention etc: Hi, my name is John and I received a brachial plexus injury trying to take out a tree on my Grizzly June 9th 2012. Unfortunately, the tree won and killed my atv. I will be having a ct mylogram done next week to determine extent of damage. It's been a rough 3 months adjusting without the use of my right arm. your lifestyle changes so abrubtly and I find it very difficult to function. I'm 47 years old and welcome any insight and guidance about this injury. I've been a carpenter for many years and never really appreciated the use of two arms until now. We take so much for granted until something traumatic occurs. If anyone knows of any good doctors specializing in Brachial Plexus injuries, feel free to post them for me. I live in northern New York and have yet to find any up here.

Techniques for hand

Post by levifitz »

Hello, could any one give me some insight on the types of surgeries they have done for the hand and have gotten results from? I'm very determined to get anything out of it. Please let me know of any great neurosurgeons that will perform surgeries pertaining to hand movement. Thank-you very much.
hubbard
Posts: 15
Joined: Tue Aug 21, 2012 2:36 am
Injury Description, Date, extent, surgical intervention etc: 07-08-2012 Left BPI, which is dominant arm. Had a bicycle accident.
Location: Spencer, Iowa

Re: Techniques for hand

Post by hubbard »

John, We need more info! All kinds of BPI. I've talked with several people, one had use if arm, but lost hand movement and Mayo clinic in MN was able to use a nerve from his leg and he got function back after time to heal! If all nerves avulsed, it's a different story, but there's still things that can be done for improvement! If your able, I strongly suggest an appointment with Mayo.
Carolyn J
Posts: 3424
Joined: Tue Apr 06, 2004 1:22 pm
Injury Description, Date, extent, surgical intervention etc: LOBPI. I am 77 yrs old and never had a name for my injuries until 2004 when I found UBPN at age 66.

My injuries are: LOBPI on upper body and Cerebrael Palsy on the lower left extremities. The only intervention I've had is a tendon transplant from my left leg to my left foot to enable flexing t age 24 in 1962. Before that, my foot would freeze without notice on the side when wearing heels AND I always did wear them at work "to fit in" I also stuttered until around age 18-19...just outgrew it...no therapy for it. Also suffered from very very low self esteem; severe Depression and Anxiety attacks started at menopause. I stuffed emotions and over-compensated in every thing I did to "fit in" and be "invisible". My injuries were Never addressed or talked about until age 66. I am a late bloomer!!!!!

I welcome any and all questions about "My Journey".
There is NO SUCH THING AS A DUMB QUESTION.
Sharing helps to Heal. HUGS do too.
Location: Tacoma WA
Contact:

Re: Techniques for hand

Post by Carolyn J »

John ,also post your question on the General Message Forum because a number of children and BPI Adults have had Hand surgery....they ususally do not come to the TBPI Forum like I do. ;)
Carolyn J
LOBPI/74+++ [sometimes Bossy 8-) ]
User avatar
levifitz
Posts: 6
Joined: Thu Sep 13, 2012 3:31 am
Injury Description, Date, extent, surgical intervention etc: Hi, my name is John and I received a brachial plexus injury trying to take out a tree on my Grizzly June 9th 2012. Unfortunately, the tree won and killed my atv. I will be having a ct mylogram done next week to determine extent of damage. It's been a rough 3 months adjusting without the use of my right arm. your lifestyle changes so abrubtly and I find it very difficult to function. I'm 47 years old and welcome any insight and guidance about this injury. I've been a carpenter for many years and never really appreciated the use of two arms until now. We take so much for granted until something traumatic occurs. If anyone knows of any good doctors specializing in Brachial Plexus injuries, feel free to post them for me. I live in northern New York and have yet to find any up here.

Re: Techniques for hand

Post by levifitz »

Thank-you for your information. I've got all nerves avulsed except T5. I have no movement and no feeling from the shoulder down. First surgery was 12/27/12 and performed accessory to supra scapular transfer. Second surgery 3/14/13 and performed and F/P right intercostal to
musculocutaneous nerve transfer. No results from either surgery as it has only been a short time. T5 shows no new recovering nerve action.
hubbard
Posts: 15
Joined: Tue Aug 21, 2012 2:36 am
Injury Description, Date, extent, surgical intervention etc: 07-08-2012 Left BPI, which is dominant arm. Had a bicycle accident.
Location: Spencer, Iowa

Re: Techniques for hand

Post by hubbard »

My son had all 5 nerves avulsed in July 2012, he had surgery at Mayo on Nov 29, 2012. They removed muscle from right thigh and inserted into arm from shoulder to wrist. They also transfered his chest nerves to his arm muscle. They told him the best he'll get is arm bending and some hand grasping. But not to expect anything for 6-9 mos following surgery. My son was a finish carpenter and also installed the cabinets and countertops.
Some movement is better than none, so he's waiting!
Master DIVER TOM
Posts: 759
Joined: Tue May 05, 2009 11:51 am

Re: Techniques for hand

Post by Master DIVER TOM »

My birth erbs never came with no doctors help ever, never was told of treatment or surgeries, No first read I could of been help on this web sight if a doctor would of said something :shock:
I am Glad you find help , but know its a quest :shock: :roll:
The best thing I learn with no help is to improve grasp , I drove semis for 25 years with birth erbs and driving motorcycles for years to with limited reach or lift . Squeeze a small rubber ball sent I was about 10 :roll: Squeezing just a little help overtime ;) it stretches and helps pain in figures and improves grasp overtime.
Things really do get better because we learn new ways to adapt, :D This is so underlined by so many posts ;) :D
Just thinking :roll:
Tom
User avatar
Christopher
Posts: 845
Joined: Wed Jun 18, 2003 10:09 pm
Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02

Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed

BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.

Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)

"Do what you can, with what you have, where you are."
~Theodore Roosevelt
Location: Los Angeles, California USA

Re: Techniques for hand

Post by Christopher »

I've had 1 Gracilis muscle transfer for limited basic elbow flexion with positive results (meaning my hand can reach my chin and nose, but I don't use it at that level much if ever). I've known of patients that have had a double transfer for rudimentary hand flexion successfully.

http://www.mayoclinic.org/medicalprofs/ ... lexus.html

Best of luck,
Christopher
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