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 sector of peripheral nerves. This neurosurgery reference offers surgical steps laid out step-by-step in a hugely readable and obtainable format, making it an incredible source for trainees and busy surgeons alike.
- Gain a well-rounded knowing of state-of-the-art newest wisdom concerning a number of the sorts of nerve lesions and their management.
- Grasp precisely the best way to continue through brand-new cadaver dissection images, 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 picture library on-line at www.expertconsult.com.
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Extra resources for Atlas of Peripheral Nerve Surgery
The nerve is followed upward; it leads to the fifth cervical spinal nerve. The characteristic confluence of C5 and C6 forming the upper trunk comes into view. 37 38 Section I Upper Extremity SCM Scalenus anterior muscle Br Phrenic nerve ac hi al pl ex u s icle Clav Figure 2-13. Division of the clavicular head of the SCM. The phrenic nerve can now be isolated and the inferior trunk exposed. SCM, Sternocleidomastoid. Superior belly of omohyoid muscle C5 C6 Internal jugular vein Scalenus anterior muscle UT Phrenic nerve C7 MT Transverse cervical artery Suprascapular nerve Figure 2-14.
DIVISION OF THE TRAPEZIUS l T he inferior spinal portion of the trapezius muscle is divided along the entire length of the skin incision, halfway between the medial edge of the scapula and the spine. The 3 Chapter edges are marked at intervals with suture for later approximation (Figure 3-2). l A large Kelly clamp is used to dissect beneath the trapezius midway between the scapula and the spine. Segments of muscle are clamped and sectioned between two Kelly or Sarot clamps, beginning inferiorly and proceeding superiorly.
L The incision is curved around the medial edge of the scapula. It is usually placed halfway between the scapular edge and the thoracic spinous processes so that the midsection of the rhomboid muscles can be exposed. l The incision extends to the posterolateral aspect of the lower neck. This placement tends to protect the spinal branch of the accessory nerve and the ascending branch of the transverse cervical artery, which course close to the medial border of the scapula. DIVISION OF THE TRAPEZIUS l T he inferior spinal portion of the trapezius muscle is divided along the entire length of the skin incision, halfway between the medial edge of the scapula and the spine.