Children and Adolescent Hand and Arm (CHArm) Center

Cerebral Palsy and Neurological Upper Extremity (CPNUE) Program

The purpose of the Cerebral Palsy and Neurological Upper Extremity (CPNUE) Program at Hospital for Special Surgery is to address the orthopedic needs in the upper extremity for patients with cerebral palsy and other neurological disorders.  Problems related to extremity posturing, hygiene, and functional limitations are addressed in the shoulder, elbow, hand, digits, and thumb. This is accomplished through in-depth assessments and surgical reconstruction, when indicated. While the Program is offered by the CHArm Center - which caters to the needs of children and adolescents - all ages of patients may attend the service, and patients with all types of involvement are appropriate for referral.

The CPNUE Program was designed by Michelle G. Carlson, MD, and Michelle Patterson, MS, OTR/L is the current therapist in charge of the CPNUE service.

The complete process of our Cerebral Palsy and Neurological Upper Extremity Service includes an in-depth traditional evaluation, often an electromyographic (EMG) evaluation, surgery, and post-surgical care. Details on each of these areas are addressed in the following links. 

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Patient Forum
A patient shares her experiences with the CPNUE service.

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