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 sphere of peripheral nerves. This neurosurgery reference provides surgical steps laid out step-by-step in a hugely readable and available format, making it an incredible source for trainees and busy surgeons alike.
- Gain a well-rounded figuring out of modern day most modern wisdom concerning some of the different types of nerve lesions and their management.
- Grasp precisely the way to continue through brand-new cadaver dissection pictures, full-color illustrations with step by step operation notes, and self-explanatory bullet points.
- Apply the latest advances in nerve move surgical procedure with an entire 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 photograph library on-line at www.expertconsult.com.
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Additional info for Atlas of Peripheral Nerve Surgery
If this is an important part of the dissection in a particular patient, an infraclavicular dissection is needed (Figure 2-31). An inch and a half of the lateral origin of the pectoralis major is divided from the clavicle. The clavipectoral fascia (between the clavicle and pectoralis minor) is incised and the medial cord/lower trunk is dissected. If the wound suddenly fills with chyle, the offending leaking structures should be meticulously closed, usually by bipolar coagulation, before proceeding with the operation.
LC, Lateral cord; LT, lower trunk; MC, medial cord; MT, middle trunk; PC, posterior cord; UT, upper trunk. Chapter 2 The Brachial Plexus Sternocleidomastoid muscle Omohyoid muscle Clavicle Pectoralis major muscle Subclavius muscle Pectoralis minor muscle Figure 2-4. The roots, in the subarachnoid space, combine to form the spinal nerves, which run posterior to the vertebral artery. Figure 2-6. A lateral view depicts the relationship of the relevant fascia and musculature to each other. scle r mu terio s an lenu Sca Pectoralis major muscle C8 Subclavius muscle Me dia T1 vian bcla lc ord Deltoid ry ar te Su Groove for subclavius Figure 2-5.
At this point, venous oozing is a nuisance and is controlled by judicious cautery and packing. l The dorsal scapular nerve leaves C5 proximally. If stimulation of C5 results in levator scapulae contraction, the welcome inference is that axons are viable to at least that point and that grafts can be led from there, if necessary (see Figure 2-24). l The long thoracic nerve forms within the substance of the scalenus medius. Tenting C6 and C7 gently forward will reveal that spinal nerve contribution leaving the posterior aspect of the spinal nerve (Figure 2-27).