By David G. Kline
Now in its moment variation and that includes a brand-new format, Atlas of Peripheral Nerve Surgery continues to be the surgical atlas devoted to the sector of peripheral nerves. This neurosurgery reference provides surgical steps laid out step-by-step in a hugely readable and available format, making it a terrific source for trainees and busy surgeons alike.
- Gain a well-rounded knowing of contemporary most up-to-date wisdom concerning a few of the varieties of nerve lesions and their management.
- Grasp precisely the right way to continue through brand-new cadaver dissection photographs, full-color illustrations with step by step operation notes, and self-explanatory bullet points.
- Apply the latest advances in nerve move surgical procedure with a whole part that discusses the move of the radial to axillary nerve, the median and ulnar nerve to the musculocutaneous nerve, the femoral department to the obturator nerve, and more.
- Access the absolutely searchable textual content and downloadable snapshot library on-line at www.expertconsult.com.
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Extra info for Atlas of Peripheral Nerve Surgery
Display of the tapelike posterior cord is achieved by operating both medial and lateral to the artery. The posterior cord is followed down to the axillary nerve, nerve to latissimus dorsi, and radial nerve take-offs. LC, Lateral cord; PC, posterior cord. Chapter 2 The Brachial Plexus Pectoralis minor muscle Axillary artery Lateral cord Lateral cord contribution to median nerve Axillary nerve Thoracoacromial artery Medial pectoral nerve Medial cord contribution to median nerve Subclavian vein Musculocutaneous nerve Coracobrachialis Median nerve Lateral thoracic artery Medial cutaneous nerve of forearm “V” configuration of the contributions to the median nerve Figure 2-40.
A proximal branch of the C5 spinal nerve, the dorsal scapular nerve, supplies both the levators scapulae and the rhomboids. Absence of these functions, in the presence of deltoid paralysis, denotes a very proximal C5 injury. The electromyographer should place the electrode with care, being certain that the recording is being made from the trapezius or rhomboid (deeper); otherwise, confusing information may be obtained. l The triangular space, which transmits the scapular circumflex artery, is formed by the teres major below, the long head of the triceps laterally, and the subscapularis and teres minor above (Figure 3-5).
If this is not done, the powerful muscle will later tear away in part, with both functional and cosmetic sequelae. The superficial tissues and skin closure must be meticulous, or the scar will broaden in an ugly fashion. 33 Spin al ne rves Tru n ks A: Anterior P: Posterior Di ns io vis Up pe r Co Mi dd P P P rds Lo we r le A A A es Nerv l ra te rior La e st l Po dia e M l an ut loc dia Ra eo n dia Me ar Uln Figure 2-1. The five regions of the brachial plexus and their relation to the anterior tubercles, clavicle, and coronoid process.