Atlas of Peripheral Nerve Surgery by David G. Kline

By David G. Kline

Now in its moment version 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 offers surgical steps laid out step-by-step in a hugely readable and obtainable format, making it an awesome source for trainees and busy surgeons alike.

  • Gain a well-rounded realizing of state-of-the-art newest wisdom concerning some of the varieties of nerve lesions and their management.

  • Grasp precisely tips on how to continue through brand-new cadaver dissection images, full-color illustrations with step by step operation notes, and self-explanatory bullet points.
  • Apply the most recent 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

Example text

The corners are marked with heavy sutures to allow careful reapproximation at the end of the case (Figure 2-48). l In a few cases of focal injury, it may be possible to isolate the pectoralis minor tendon and pull it up or down to expose the underlying pathology (Figure 2-49). In the majority of cases, however, the tendon is divided close to the bone and self-retaining retractors are placed to retract both minor and major muscles in a medial direction (Figures 2-50 and 2-51). l Usually the first structure encountered is a lateral cord.

If the medial pectoral nerves are used as donor nerves, the lateral pectoral nerve must be cared for with even greater vigilance. If necessary, a segment of the subclavius is resected to gain better access. An opened surgical sponge can be passed around the clavicle and clamped with a large instrument. A strong assistant can use the instrument as a handle and pull the clavicle forward. Experienced surgeons very rarely divide the clavicle, as exposure can be gained by the various methods that have been described for displacing this structure.

L The quadrangular space, which contains the axillary nerve and the posterior circumflex humeral artery, is surrounded by the teres major below, the subscapularis and teres minor above, the long head of the triceps medially, and the surgical neck of the humerus laterally (see Figure 3-5).

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