AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition, 2022

Rondinelli, Robert D.; Genovese, Elizabeth; Katz, Richard T.; Mayer, Tom G.; Mueller, Kathryn; Ranavaya, Mohammed I.; Brigham, Christopher R.

doi:10.1001/978-1-64016-212-9

Cited by 3 publications

(1 citation statement)

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“…The importance of the thumb is well-documented in the surgical literature. According to the AMA Guides to the Evaluation of Permanent Impairment, thumb amputation results in 40% loss of hand function, while amputation of the index or long finger accounts for only 20% loss of hand function [16]. The thumb's vital role in hand function is attributed to its unique ability to flex across the palm's width [17].…”

Section: Discussionmentioning

confidence: 99%

Multi-Segmental Osteocutaneous Free Fibula Flap for Three-Dimensional Post-Traumatic Thumb and Wrist Reconstruction

Sudduth¹,

Dogar²,

Horriat³

et al. 2023

MPS

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Thumb reconstruction following a traumatic injury challenge depends on the extent of the injury. Ideally, reconstruction should restore thumb length and position and retain thumb stability, mobility, and strength, while preserving sensation and aesthetics. Achieving these outcomes can be especially challenging in severe cases of soft tissue and bony loss. The authors present a case of a 20-year-old right-hand dominant female involved in a motor vehicle accident who sustained severe crush injuries and burns to her right hand. Her injuries included soft tissue and bony defects extending from the thumb to the distal radius, namely avulsion of the thumb and significant loss of the distal radial and carpal column, resulting in severe wrist instability. We employed a three-segment vascularized osteocutaneous fibula flap to reconstruct the thumb and wrist to restore bony construct, carpal support, and soft tissue coverage. Thumb motion could not be achieved, but this technique offered a sensate, functional post for opposition and the appearance of an anatomic hand. Because of this surgery, the patient was enabled to graduate from college and pursue full-time employment. The authors hope that this report will add to the fund of knowledge and surgeon armamentarium for similar devastating injuries demanding thumb and wrist reconstruction.

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Section: Discussionmentioning

confidence: 99%

Multi-Segmental Osteocutaneous Free Fibula Flap for Three-Dimensional Post-Traumatic Thumb and Wrist Reconstruction

Sudduth¹,

Dogar²,

Horriat³

et al. 2023

MPS

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Evaluating Eye Injuries from Traffic Accidents in Turkey: American Medical Association Guideline vs. National Regulations

Turan,

Gamsız Bilgin,

Kar

2024

blm

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Environmental and Occupational Factors; Contribution and Perspectives on Difficult to Treat Asthma

Latorre¹,

Colon²,

Diaz³

et al. 2023

New Perspectives on Asthma

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There are multiple well-recognized environmental factors that contribute to asthma exacerbation. Exposures to many of them will get unrecognized and most of the time will remain constant without knowing it is the causative agent. For an early identification of exposures and causative agents, a systematic approach needs to be taken in consideration by the encountering physician. Multiple questionnaires had been implementing and discussing organic and inorganic factors as well intrinsic and extrinsic factors. It is well-recognized that environmental exposures can cause worsening of asthma, other allergic conditions and even more severe pulmonary diseases. Asthma is a very prevalent disease with increased incidence nowadays. In the last decade, multiple new medications had been discovered for the treatment of moderate-to-severe persistent asthma, which most of them target the cellular component of the disease such as eosinophils and specific Immunoglobins. In the era of personalized medicine, environmental and occupational factors in asthma are key players that need to be recognized early in this patient population. In this chapter will go over model of effects, mechanism of action of these environmental factors, recognition, course of action and management of this patient population.

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AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition, 2022

Cited by 3 publications

References 0 publications

Multi-Segmental Osteocutaneous Free Fibula Flap for Three-Dimensional Post-Traumatic Thumb and Wrist Reconstruction

Multi-Segmental Osteocutaneous Free Fibula Flap for Three-Dimensional Post-Traumatic Thumb and Wrist Reconstruction

Evaluating Eye Injuries from Traffic Accidents in Turkey: American Medical Association Guideline vs. National Regulations

Environmental and Occupational Factors; Contribution and Perspectives on Difficult to Treat Asthma

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