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Old 08-15-2011, 04:57 PM
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mtomaino mtomaino is offline
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Zach

I remember you well--as I recall, you had avulsed all of your nerve roots and I neurotized your suprascapular nerve using an extraplexal donor nerve. After we performed your above elbow amputation, due to a flail extremity and hand, you could elevate your upper arm to about "horizontal"---and we fit you with a prosthesis.

Regarding the pain at your stump---this might very well be a neuroma from overgrowth of the nerve ends. If you have not been able to successfully manage this with an adjustment of your prosthesis, then surgical revsion---trimming of the nerves --may help.

Regarding your foot drop, have you had any back pain that might indicate that you have a disc herniation, or an evaluation of your peroneal nerve at the knee level to ensure that you do not have any kind of a growth that could be bothering the nerve that allows you to bring your ankle up?

Regarding the ability to have an MRI---often with the passage of time, retained metal is not a contraindication to an MRI. If still regarded as one, then at the very least you might benefit from a CT-myelogram.

I recommend that you try to see an Orthopaedic surgeon who has an expertise in peripheral nerve disturbance for a thorough neurologic assessment, or even a Neurosurgeon. Good luck to you.

Matt
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