By Amgad S. Hanna
This booklet is a entire illustrated surgical consultant to operative exposures of the spinal nerves, often referred to as peripheral nerves. every one bankruptcy is dedicated to a specific nerve and describes the beginning, anatomic family members, branches, surgical methods, and medical importance. The textual content is concise and straightforward to learn and is complemented by means of informative colour pictures from cadaveric dissections and surgeries. A separate bankruptcy on technical notes identifies surgical pearls on the subject of strategies similar to nerve suturing and nerve transfers. Importantly, not like different peripheral nerve atlases, this ebook is observed by way of video clips of alternative ways. The e-book should be in particular necessary for citizens and fellows in education and applicants for oral board and MOC examinations. it's also designed to supply a brief illustrated assessment for surgeons strange with a method. such a lot movies are under five mins lengthy, and it's going to take under 10 mins to study every one procedure, together with observing the video. Anatomy and Exposures of Spinal Nerves will successfully fill a niche attributable to the absence of a peripheral nerve health care professional from many neurosurgery education programs.
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Extra resources for Anatomy and Exposures of Spinal Nerves
6. To expose the thoracodorsal nerve, the deep fascia overlying the latissimus dorsi muscle is opened. A micro-Doppler can be used to locate the corresponding vessels that usually travel along the nerve. 7. Once identified, the nerve can be followed proximally and distally until its anterior and posterior divisions. 8. The posterior division of the thoracodorsal nerve can be used to reinnervate the long thoracic nerve (Fig. 4) Reference Fig. 4 End-to-side neurorrhaphy from the posterior division of the thoracodorsal nerve (t) to the long thoracic nerve (l) 1.
S. 1007/978-3-319-14520-4_7, © Springer International Publishing Switzerland 2015 25 26 7 Radial Nerve Fig. 3 Incisions for radial nerve exposures in the distal arm (1), proximal (2), and distal forearm (superficial radial) (3) Fig. 2 Right posterior interosseous nerve (PIN) palsy. Note the radial deviation of the wrist when the patient attempts to extend it Posterior Arm (See Fig. 2) 1. The patient can be positioned supine with a bump under the shoulder, lateral, or prone. 2. Incision is made in the posterior aspect of the arm along the posterior border of the deltoid and then extended distally in the mid-posterior arm.
One may try to palpate the brachial artery pulse and cut along it. 2. The incision is deepened through the superficial and deep fasciae. 3. The median nerve is usually found superficial to the brachial artery. 4. Followed proximally towards the axilla under the pectoralis major tendon, it can be traced back to the contributions from the medial and lateral cords. 5. Distally, it can be followed between the biceps brachii and brachialis muscles. In the Cubital Fossa (Fig. 4) 1. Midline anterior incision z-shaped to avoid crossing the elbow crease.