Archive for hand and upper extremity
Broken signals: Things you may not know about nerve injury
When Dr. Andrea Bauer talks about nerve injuries, she talks about phone cords. A damaged phone cord transmits staticky or broken sounds, or no sound at all. Similarly, peripheral nerve injuries (injuries that affect the arms, hands, legs, and feet) disrupt signals to and from the brain, causing numbness, loss of sensation, and lost function. ... Read More
Fingers, shoulders, and everything in between: Three upper extremity surgeons and their relentless quest for solutions
It’s 6 a.m. and the surgeons in the Hand and Orthopedic Upper Extremity Program at Boston Children’s Hospital have logged on for their weekly meeting. “We meet first thing every Monday to discuss our complex cases,” says orthopedic surgeon Dr. Carley Vuillermin. “It gives us a chance to talk through treatment options for our patients ... Read More
A malunion fracture, baseball, and M&M cookies: Tyler’s story
Tyler Weygand loves baseball, and he’s good at it. Good enough that few balls ever get past him in the infield. So good that for nearly ten years, his parents and coaches in Saratoga, NY didn’t realize he could not rotate his left arm due to a malunion fracture. A fracture that healed out of ... Read More
Limb-lengthening surgery: A look at the pros and cons
Limb length discrepancies, a leg or arm that’s shorter than the other, can occur for a number of reasons. A child may be born with a condition that causes one limb to grow more slowly than the other. An arm or leg may stop growing after a complex fracture or a fracture that heals incorrectly. ... Read More
Surgery during COVID-19: Answers for parents
Any time a child needs surgery, safety is a natural concern. With COVID-19, many parents are feeling more concerned than ever. “As a parent myself, one of the scariest things about this pandemic is that you’re often having to make decisions based on incomplete information, says Dr. Prathima Nandivada, an attending surgeon in the Department ... Read More
Brachial plexus birth injury: Harper’s right arm
When Harper Jane Stalker was born with a limp, unmoving right arm in 2016, her parents had never heard of brachial plexus birth injury. Their situation was not unusual. Although this type of nerve injury is relatively common, most parents haven’t heard the term and don’t know what it is. “In the beginning, we were ... Read More
Answers for parents whose baby is born with brachial plexus injury
Between one and three of every 1,000 babies is born with brachial plexus birth injury. The injury, which may be minor or severe, can impair movement and sensation in a baby’s arm. Because brachial plexus injuries take place during birth, usually without warning, the news leaves many new parents at a loss for what to ... Read More
COVID-19 and surgery: Lessons in safety
When Massachusetts recorded its first COVID-19-positive test result in early March 2020, health officials knew little about the virus. They didn’t know, for instance, how it was transmitted or how to protect patients and clinicians during surgical procedures. In the weeks that followed, Boston Children’s Hospital made several difficult but necessary decisions. We cancelled elective ... Read More
Diving deep: Understanding skeletal conditions with fish models
From fragile ice fish deep in the Antarctic Ocean to flying fish gliding above the Caribbean sea, fish have evolved a fascinating variety of skeletal traits. These traits not only help them adapt to their environments, they are also providing genetic insights into rare human skeletal disorders. Fish are not as genetically different from us ... Read More
Returning to the stage after cubital tunnel syndrome
Bruno Silva can’t imagine his life without music. He has been playing bass guitar since he was 12 years old and performs at least once a week, often more. Born in Japan to Brazilian parents, Bruno has lived and performed in England, Brazil, Spain and the United States. He started out playing along to bands ... Read More