Arm and Hand Injuries

Arm and shoulder injuries often impact your ability to fully use your limbs, and can make daily tasks difficult. Our experts specialize in the latest research-backed techniques that help restore function and comfort.

Surgical Expertise

Rigorous medical training and breadth of knowledge, experience, and innovation mark our surgical facility as one of the best in the world.
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Compassionate Care

Our surgeons are devoted to their profession and to providing attentive patient care, making themselves available and accessible to patients and their families.
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Advanced Research

Our surgeons participate in and often lead in advanced research that leads to better patient outcomes.
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Multidisciplinary Approach

Our surgeons work alongside their colleagues in additional specialties cross the Johns Hopkins network to offer our patients the most comprehensive care.
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Request an Appointment

Schedule Online Through MyChart

Some exclusions apply.
Available for new and follow-up appointments with most providers.
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Schedule by Phone

New and existing patients can schedule by phone using this number: 443-997-9466
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International patients can request an appointment though international patient services.

Targeted Muscle Reinnervation (TMR)

Overview

Targeted muscle reinnervation (TMR) is a new surgical procedure that reassigns nerves that once controlled the arm and the hand. By reassigning existing nerves, doctors can make it possible for people who have had upper-arm amputations to control their prosethic devices by merely thinking about the action they want to perform. Once experimental, this innovative procedure is now available at The Johns Hopkins Hospital.

People who undergo the targeted reinnvervation surgery will be fitted with and trained to use a myoelectric prosthetic arm.

What To Expect

Those interested in the procedure to better control their prosthetic arm must undergo a medical review to determine their eligibility. In general, patients must meet the following criteria:

  • Amputation above the elbow or at the shoulder within the last 10 years
  • Stable soft tissues
  • Willing to participate in rehabilitation

Those who were born without part or all of their arm and those who have nerve damage, degeneration or paralysis are not candidates for this procedure.

Our Experts

  • Lily Ruth Mundy, MD

    Expertise: Breast Surgery, Plastic Surgery

    Primary Location: Johns Hopkins Outpatient Center, Baltimore, MD

  • Rick Redett, MD

    • Director, Plastic and Reconstructive Surgery

    Expertise: Pediatric Plastic Surgery, Pediatric Craniofacial Plastic Surgery

    Primary Location: Johns Hopkins Outpatient Center, Baltimore, MD