By Amgad S. Hanna
This ebook is a finished illustrated surgical consultant to operative exposures of the spinal nerves, often referred to as peripheral nerves. every one bankruptcy is dedicated to a selected nerve and describes the beginning, anatomic kin, branches, surgical techniques, and medical value. The textual content is concise and simple to learn and is complemented via informative colour photographs from cadaveric dissections and surgeries. A separate bankruptcy on technical notes identifies surgical pearls with regards to suggestions similar to nerve suturing and nerve transfers. Importantly, in contrast to different peripheral nerve atlases, this publication is followed via movies of alternative techniques. The publication might be specifically important 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 unexpected with a strategy. such a lot movies are under five mins lengthy, and it's going to take lower than 10 mins to check each one procedure, together with looking at the video. Anatomy and Exposures of Spinal Nerves will successfully fill a niche attributable to the absence of a peripheral nerve health professional from many neurosurgery education programs.
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Additional info for Anatomy and Exposures of Spinal Nerves
5), the medial intermuscular septum should be resected and the ulnar branches dissected off the nerve in an interfascicular fashion, to avoid tension, and then the nerve is transposed subcutaneously or submuscularly. 3. The flexor carpi ulnaris tendon is identified at the proximal part of the incision and retracted medially. The ulnar nerve with the artery lateral to it enters Guyon’s canal lateral to the pisiform bone. 4. Guyon’s canal is then unroofed and the nerve is followed until it branches.
Infraclavicular exposure as in Chap. 3. 2. The nerve is then followed laterally, which will require retracting or transecting the pectoralis major tendon. 3. It courses laterally to pierce the coracobrachialis muscle after giving off several branches to supply that muscle (Fig. 2). 1007/978-3-319-14520-4_8 contains supplementary material, which is available to authorized users. Fig. 2 The musculocutaneous nerve (1) as it enters the coracobrachialis (2). Note the comblike appearance of the branches to the coracobrachialis.
If there is a previous incision from another procedure that damaged the nerve, it should be incorporated into the new incision. The nerve is very superficial and the use of electrocautery is discouraged to avoid accidental damage to the nerve. 4. The nerve is found in the superficial fascia as it courses from ventral and cranial to dorsal and caudal. 5 cm cranial to the great auricular nerve. The great auricular nerve winds around the posterior border of the SCM from deep to superficial and ascends vertically towards the angle of the mandible and ear.