Tom's interests are Birth Brachial Plexus Palsy (BBPP or Erb's palsy) traumatic nerve injury, peripheral nerve treatment of spasticity, nerve injury and development in the growing shoulder and adult brachial plexus injury.

Tom has one of the largest obstetric palsy practices in the United Kingdom providing huge experience in this very focused field. He sees over 150 new patients with BBPP per year and has inherited the long term follow up of over 2500 patients whom he sees regularly. Tom also has an honorary appointment with Great Ormond St Hospital and the Evelina Children's Hospital where he operates on children with significant co morbidities, and the Defence Medical Rehab Centre at Headley court where he provides a monthly clinic for nerve injured servicemen and women.

As part of providing a national referral service for Adult and paediatric brachial plexus and peripheral nerve injury Tom has a large experience of traumatic supra- and infra-clavicular plexal injury repair and reconstruction. Microsurgical graft and transfer and secondary reconstruction cases are managed through a rapid access clinic with structured follow up and rehabilitation programmes to support these patients. Treatment of co-contraction is another area of clinical expertise in both adults and children where Tom has a focused interest. Tom also maintains his Hand surgery interest for non-arthritic hand conditions.

Research Interests:
Tom has research collaborations across UCL within the Nerve Regeneration Network and the Nerve Engineering Group and is currently engaged in exploratory science projects towards the rate of nerve regeneration, MRI neurography and cell therapies towards augmenting and improving nerve regeneration.

His clinical projects centre around Birth Brachial Plexus palsy assessment and treatment, co-contraction, improvements and quantification of nerve recovery and surgical education topics. Tom has just registered an MD (res) project to be undertaken part time over the next two years.

Tom has secured over £70,000 of funding for his research since appointment and is pursuing large scale funding now for the RCT.

Tom is Head of Undergraduate Education at the Division of Surgery at UCL. He has a strong commitment to improving surgical education through developing professional skills, skills training and promoting surgical careers.

Publications & Presentations:
Tom has authored book chapters on nerve injury in text books including the 7th Ed of Greens Hand surgery. Tom has written many peer reviewed publications in high impact journals and regular lectures and teaches both nationally and internationally.


Nerve injuries: an essential guide for orthopods