By Amgad S. Hanna
This e-book is a entire illustrated surgical advisor to operative exposures of the spinal nerves, sometimes called peripheral nerves. each one bankruptcy is dedicated to a selected nerve and describes the starting place, anatomic kinfolk, branches, surgical techniques, and medical importance. The textual content is concise and simple to learn and is complemented by way of informative colour photographs from cadaveric dissections and surgeries. A separate bankruptcy on technical notes identifies surgical pearls when it comes to strategies equivalent to nerve suturing and nerve transfers. Importantly, in contrast to different peripheral nerve atlases, this booklet is observed through movies of alternative ways. The publication might be in particular helpful for citizens and fellows in education and applicants for oral board and MOC examinations. it's also designed to supply a short illustrated overview for surgeons surprising with a technique. so much movies are lower than five mins lengthy, and it may take below 10 mins to study every one method, together with gazing the video. Anatomy and Exposures of Spinal Nerves will successfully fill a spot because of the absence of a peripheral nerve health professional from many neurosurgery education programs.
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Extra info for Anatomy and Exposures of Spinal Nerves
Position: prone. Incision: paramedian, between the midline and medial border of the scapula Fig. 2 The trapezius (T) is exposed and incised foramen and can easily be tamponade with Gelfoam and thrombin. 11. The trunks can be followed distally to divisions (Fig. 5). 12. The suprascapular nerve can be identified coming off the upper trunk going towards the suprascapular notch. 13. The long thoracic nerve arises from the posterior aspect of the upper ventral rami (C5–C7), within scalenus medius, and travels towards the serratus anterior outer surface.
In the Cubital Fossa (Fig. 4) 1. Midline anterior incision z-shaped to avoid crossing the elbow crease. 2. The antecubital vein may be encountered in the superficial fascia; it can be ligated and cut. 3. The deep fascia is opened and then the bicipital aponeurosis. 4. This exposes the contents of the cubital fossa with the brachial artery dividing into radial and ulnar arteries and the median nerve medial to the artery. 5. The median nerve gives off branches to the superficial flexor muscles except flexor carpi ulnaris.
Distally, it enters the posterior arm behind the medial intermuscular septum and then travels posterior to the medial epicondyle. Around the Elbow 1. Position: supine with the arm abducted and externally rotated and the elbow flexed. 2. Incision is made between the medial epicondyle and the olecranon process. It is extended cranially and caudally along the course of the nerve. A short incision is used for a simple decompression, but a longer (20 cm) incision is used for a transposition. 3. The superficial fascia is opened.