Tom-Microscope

Tom J Quick, MA(Cantab) MBBS FRCS(Tr&Orth)

Consultant Surgeon | Peripheral Nerve Injury Unit | Royal Nation Orthopaedic Hospital, Stanmore HA7 4LP
Honorary Surgeon | Great Ormond St Hospital, London | & Defence Military Rehab Centre | Headley Court, Surrey
Head of Undergraduate Education, Division of Surgery | Honorary Senior Lecture Institute of Musculoskeletal Science UCL
Tom.quick@nhs.net | 0208 9095447 | GMC 6031675 | MDU 393730G

Profile

Tom is a fellowship trained peripheral neurosurgeon with a Paediatric orthopaedic background. His practice is 50:50 paediatric and adults and encompasses all aspects of nerve injury treatment from primary intervention to later reconstruction in the neonate, child, adolescent and adult.

Tom runs a clinic in the treatment of the upper limb in tetraplegia. He also has an honorary appointment with Great Ormond St Hospital where he operates on children with significant co morbidities, and the Defence Medical Rehab Centre at Headley Court and provides a monthly clinic for nerve injured servicemen and women.

Tom’s interests are Obstetric Brachial Palsy (Erb’s palsy) traumatic nerve injury, nerve injury and development in the growing shoulder and adult brachial plexus injury.

Appointed in Spring 2013 to the PNI Unit, Tom is one of four consultants in this national referral centre. With his interests and background training Tom takes 50% of the unit’s obstetric palsy cases. The unit offers:

  • spinal root re-implantation
  • free functioning muscle transfer
  • nerve stimulator pain modulation service
  • hand surgery clinic
  • Obstetric shoulder specialist clinic
  • quantitative sensory testing
  • one stop Nerve conduction and EMG clinics
  • and a fully integrated multidisciplinary team approach

Tom has research collaborations across UCL within the Nerve Regeneration Network 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 obstetric palsy assessment and treatment, co-contraction, improvements and quantification of nerve recovery and medical education.

The Division of Surgery UCL appointed Tom Head of Undergraduate Education in 2014 and through this role Tom is furthering the engagement of Medical students in Surgical practice, research and science.

Current Appointments

Consultant Surgeon, Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, UK
Head of Undergraduate Surgery, Division of Surgery, University College London, UK
Honorary Senior Lecturer, Institute of Orthopaedics and Musculoskeletal Science, University College London, UK
Honorary Consultant Surgeon, Great Ormond Street Hospital, London
Honorary Consultant Surgeon, Defence Medical Rehab Centre, Headley Court, Surrey

Education & Qualifications

Manchester Grammar school, Manchester , 10GCSEs 3 A-levels 2 S-levels
Magdalene College, Cambridge, History of Art MA(Cantab) and MB exemptions
University College Hospital, London (Royal Free Campus) MBBS
Royal College of Surgeon of Edinburgh, MRCS(Ed)
Intercollegiate board of Surgeons, FRCS(Tr&Orth) (2011)
Paediatric orthopaedic Fellow, Westmead children’s hospital (2011-2012)
Post graduate fellow, PNI unit RNOH (2010 and 2013)

Clinical Skills

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 OBPP per year and has inherited the long term follow up of over 2500 patients whom he sees regularly.

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 through regular clinic with a plastic surgical colleague for non arthritic hand conditions.

Research

Tom has just commenced a period of study for an MD(res) in nerve injury recovery. This will run part time over the next two years and is supported by the RNOH and the division of surgery (UCL).

An application for an RCT studying a human model of augmentation of nerve repair is awaiting information from a currently running pilot to allow power analysis prior to funding being awarded. The pilot was initiated after Tom was awarded a grant from the RNOH Trustees worth £9,000 in 2014.

Tom has secured access to the National trauma audit and research network database (TARN) and agreed funding for an MSc post to assist in a project to review the demographics for the UK’s supra-clavicular plexus injury burden. A secondary project to review outcomes from this cohort has also been submitted.

Tom has a strong interest in Erb’s palsy and has four on-going projects here – one is in the final stages of analysing a series of shoulder outcomes from over 300 patients with obstetric brachial plexus injuries that have been followed up past skeletal maturity. another has completed data collection and is a study of hand outcomes from 50 total plexus obstetric palsy cases. Two studies are still collecting data but are on self image and the impact of linguistic and socioeconomic poverty on the incidence of OBPP in England.

Medicolegal Career

Starting in 2013 and having now been instructed in over 30 cases with three proceeding to court appearances. One of the these was a criminal case in London where Tom further benefited from the exposure to a jury trial. All three court appearances the side calling Mr Quick were successful.

Mr Quick has been mainly instructed by the Plaintifs counsel. He accepts both defence and prosecution counsel instruction with a quick turn around of 4-6 weeks from receiving instruction.

The vast majority of Tom’s reports concern both the condition and prognosis and the likely prognosis of cases of Obstetric (Erb’s) Palsy. Tom has been asked to provided his expert opinion to assist in cases of causation but this restricts his comments to the pathophysiology of nerve injury not straying into the area of the Obstetric expert.
Tom has attended training at Irwin Mitchell’s ‘Becoming a Medico-Legal Expert’ Spring Series 2014 and attended the Expert Witness Institute Conference 2015.

Senior Counsel Liam Reidy in Dublin comment that in under cross examination Tom was “brilliant and remained composed”.

Publications

U Anand, Y Yiangou, M Sinisi, MFox, A MacQuillan, T Quick, Yuri E Korchev, Chas Bountra, Tom McCarthy and
Praveen Anand Mechanisms underlying clinical efficacy of Angiotensin II type 2 receptor (AT2R) antagonist
EMA401 in neuropathic pain: clinical tissue and in vitro studies Mol Pain (2015) 11:38 DOI 10.1186/
s12990-015-0038-x

T Quick, Graf N, Smith N. Case report of an ulcerated infantile digital fibromatosis in an older child. The lump to spot in the child’s hand (a spot not to lump in with the others).J Hand Surg Eur Vol. 2014 Oct;39(8):888-9. doi: 10.1177/1753193413484623. Epub 2013 Apr 11

J Sowno, T J Quick, E Carpenter, J DeLima, P Gibbons, D Little. Near-infrared spectroscopy for detection of vascular compromise in paediatric supracondylar fractures. Journal of Physiologic Measurement Feb 2014 35(3):471.

T J Quick, A MacQuillan, M Sinisi, M Fox, R Birch. The examination and management of nerve injury in supracondylar fractures of the humerus. JPO. Part B / 07/2013; 22(4):397-8.

M A Tonkin, S K Tolerton, T J Quick, I Harvey, R D Lawson, N C Smith, K C Oberg. Classification of Congenital Anomalies of the Hand and Upper Limb: Development and Assessment of a New System. J Hand Surg 05/2013;2013.03.019 DOI:10.1016

T J Quick, P Gibbons, N Smith. An olecranon chondral flap and osteochondral coronoid fracture in a spontaneously reduced elbow dislocation in a child. J Pediatr Orthop B. 2013 Sep;22(5):481-5. DOI:10.1097/BPB. 0b013e328361c856

T Quick, D M Williamson. A case of non ambulant slipped upper femoral epiphysis. J Paediatr Orthop B. 2011 July; 20(4):270-272

R Amirfeyz, D Clark, T Quick, N Blewitt. Newcastle approach to the elbow, a cadaveric study. Arch Ortho Trauma Surg 2011 June;131(6):747-751

R Bethune, G Scally, R Griggs, T Quick. True grit. Journal of Public Health 2010; doi: 10.1093/pubmed/fdq033

T J Quick, D M Eastwood. Paediatric fractures and dislocations of the hip and pelvis. Clin Orthop and Related Research 2005;432:87-96

R Dilawaiz, R Nadeem, T J Quick, D M Eastwood. Focal dome osteotomy for the correction of tibial deformity in children. J Paediatr Orthop B. 2005 Sep;14(5):340-6.

T J Quick Emergency Medicine: Concepts and Clinical Practice Rosen 5th &Emergency: Diagnosis and Management Book reviews: Injury 2003 July;34(7):558

T J Quick A Surgeon’s Guide to Writing and Publishing: Schein & Farndon Book review: Injury, 2000 July;34(7):557

T J Quick ‘Don’t call me Doctor’
Letter to the Times published May 24th 2005 ( in response to article Tuesday May 17, 2005)

Book Chapters

T J Quick, R Birch. Nerve repair chapter in Green’s Hand surgery 7th Ed. Editor Scott Wolfe- with editor. Publication 2015

T J Quick, M Fox. ‘Traumatic nerve injury chapter in Stanmore Trauma Guide Ed. S Dawson-Bowling CRC Press Publication Date: 2nd Dec 2014 | ISBN-10: 1444148826 | ISBN-13: 978-1444148824

T Quick Contributing author: ‘Intercollegiate MRCS: An Aid to the Viva Examination’ M Ramachandran, A Malone, PassTest

 

 

 

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