Presenting step-by-step procedures written by experts in the field, this comprehensive clinical guide discusses the diagnosis (electrodiagnostic and ultrasound) and management of compressive neuropathies of the upper extremity. Compressive (or compression) neuropathy, also known as entrapment neuropathy or trapped nerve, is a common condition of the upper extremity in which the nerves of the arm – median, ulnar and radial being the most common – are compressed, causing pain and discomfort as well as possible pathological and anatomical changes. Carpal and cubital tunnel syndrome are the most well-known and treated, with nerve release and decompression surgeries being the usual treatment, though the variety of neuropathies and management strategies goes beyond these conditions. Chapters included describe in detail the latest, cutting-edge management strategies for the various manifestations of compressive neuropathy of the hand and wrist – carpal tunnel syndrome, cubital tunnel syndrome, ulnar nerve syndrome, radial tunnel syndrome, pronator teres syndrome, Wartenberg’s syndrome, thoracic outlet syndrome and suprascapular neuropathy – as well as revision carpal and cubital tunnel surgical treatment options. Plentiful intraoperative photos and detailed illustrations, along with clinical case material and pearls and pitfalls, make this the ideal resource for orthopedic, hand and plastic surgeons aiming for the most optimal outcomes.
This issue of Orthopedic Clinics aims to provide and up-to-date compilation of management and treatment techniques of Compressive Neuropathies, along with anatomies and illustrative cases of key areas in the upper extremities most commonly affected and treated by orthopedic surgeons.
Cubital tunnel syndrome is the second most common compression neuropathy in the upper extremity. While the treatment of carpal tunnel syndrome is relatively straightforward, there is much debate regarding the most efficient diagnostic methods, appropriate non-surgical management, and surgical management of cubital tunnel syndrome. This unique book is sensibly divided into three thematic sections. Part one reviews the relevant anatomy and presents the physical exam and diagnostic test modalities, along with non-surgical treatment strategies such as splinting and injections as well as the role of physical therapy. Surgical treatment strategies are discussed in detail in part two, including decompression, anterior transposition, minimal medial epicondyectomy and ulnar motor nerve transfer. Management of the failed release is highlighted here as well. Part three describes outcomes, acute and chronic complications and rehabilitation. Case material will be included where appropriate to provide real-world illustration of the presentations and procedures discussed. Practical yet comprehensive, Cubital Tunnel Syndrome will be an excellent resource for orthopedic, hand and plastic surgeons, trainees and residents, with content that will also be useful for physical therapists and rehabilitation specialists.
This practical and comprehensive book provides you with today's best knowledge on the treatment of nerve injuries from the brachial plexus to the fingertip. Pioneers in peripheral nerve surgery from across North America and Europe offer you tips, pearls, and technical points gleaned from their decades of experience. They provide detailed discussions of standard techniques for nerve repair and grafting with the aid of electrodiagnostic techniques for fascicular matching, as well as new areas of end-to-side nerve repair, nerve transfers, and nerve conduits. Lists the indications and specific instances in which nerve transfers may be used in place of tendon transfers for previously unrepairable nerve injuries. Discusses the use of standard as well as new techniques of nerve reconstruction for the management of nerve injury for finger replantation or toe transfers. Examines the treatment of chronic pain with the use of autogenous vein wrapping as a barrier to fibrous ingrowth. Incorporates office-based studies and intraoperative nerve monitoring techniques so you can better interpret the electrodiagnostic test results for enhanced decision making in the treatment of nerve injuries. Presents all clinically oriented chapters in a standardized format to include indications Â· a brief review of the literature Â· step-by-step surgical instructions Â· and results emphasizing the authors' own methods and experiences. Provides expert coverage on how to section the nerve, which graft to use, and how to perform a matched fascicular repair. Explores the use of two different, commercially available synthetic conduits. Covers the indications, results, and technical points of neurotization for otherwise unsalvageable nerve avulsions. With 19 additional contributing experts
With extensive diagrams and illustrations throughout, the editors have drawn together an international list of contributors to produce Nerve Compression Syndromes of the Upper Limb. This comprehensive text will assist the surgeon in managing the most common compression neuropathies in all patients from the everyday worker to the musician and the athlete.
Chapter 19. Compression and entrapment neuropathies
Author: P. Bouche
Publisher: Elsevier Inc. Chapters
Peripheral nerve entrapments are frequent. They usually appear in anatomical tunnels such as the carpal tunnel. Nerve compressions may be due to external pressure such as the fibular nerve at the fibular head. Malignant or benign tumors may also damage the nerve. For each nerve from the upper and lower limbs, detailed clinical, electrophysiological, imaging, and therapeutic aspects are described. In the upper limbs, carpal tunnel syndrome and ulnar neuropathy at the elbow are the most frequent manifestations; the radial nerve is less frequently involved. Other nerves may occasionally be damaged and these are described also. In the lower limbs, the fibular nerve is most frequently involved, usually at the fibular head by external compression. Other nerves may also be involved and are therefore described. The clinical and electrophysiological examination are very important for the diagnosis, but imaging is also of great use. Treatments available for each nerve disease are discussed.
With the combined expertise of leading hand surgeons and therapists, Rehabilitation of the Hand and Upper Extremity, 6th Edition, by Drs. Skirven, Osterman, Fedorczyk and Amadio, helps you apply the best practices in the rehabilitation of hand, wrist, elbow, arm and shoulder problems, so you can help your patients achieve the highest level of function possible. This popular, unparalleled text has been updated with 30 new chapters that include the latest information on arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management. An expanded editorial team and an even more geographically diverse set of contributors provide you with a fresh, authoritative, and truly global perspective while new full-color images and photos provide unmatched visual guidance. Access the complete contents online at www.expertconsult.com along with streaming video of surgical and rehabilitation techniques, links to Pub Med, and more. Provide the best patient care and optimal outcomes with trusted guidance from this multidisciplinary, comprehensive resource covering the entire upper extremity, now with increased coverage of wrist and elbow problems. Apply the latest treatments, rehabilitation protocols, and expertise of leading surgeons and therapists to help your patients regain maximum movement after traumatic injuries or to improve limited functionality caused by chronic or acquired conditions. Effectively implement the newest techniques detailed in new and updated chapters on a variety of sports-specific and other acquired injuries, and chronic disorders. Keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management See conditions and treatments as they appear in practice thanks to detailed, full-color design, illustrations, and photographs. Access the full contents online with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and regular updates at www.expertconsult.com. Get a fresh perspective from seven new section editors, as well as an even more geographically diverse set of contributors.
Long recognized as an essential reference for therapists and surgeons treating the hand and the upper extremity, Rehabilitation of the Hand and Upper Extremity helps you return your patients to optimal function of the hand, wrist, elbow, arm, and shoulder. Leading hand surgeons and hand therapists detail the pathophysiology, diagnosis, and management of virtually any disorder you’re likely to see, with a focus on evidence-based and efficient patient care. Extensively referenced and abundantly illustrated, the 7th Edition of this reference is a "must read" for surgeons interested in the upper extremity, hand therapists from physical therapy or occupational therapy backgrounds, anyone preparing for the CHT examination, and all hand therapy clinics. Offers comprehensive coverage of all aspects of hand and upper extremity disorders, forming a complete picture for all members of the hand team—surgeons and therapists alike. Provides multidisciplinary, global guidance from a Who’s Who list of hand surgery and hand therapy editors and contributors. Includes many features new to this edition: considerations for pediatric therapy; a surgical management focus on the most commonly used techniques; new timing of therapeutic interventions relative to healing characteristics; and in-print references wherever possible. Features more than a dozen new chapters covering Platelet-Rich Protein Injections, Restoration of Function After Adult Brachial Plexus Injury, Acute Management of Upper Extremity Amputation, Medical Management for Pain, Proprioception in Hand Rehabilitation, Graded Motor Imagery, and more. Provides access to an extensive video library that covers common nerve injuries, hand and upper extremity transplantation, surgical and therapy management, and much more. Helps you keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management—all clearly depicted with full-color illustrations and photographs.
Green’s Operative Hand Surgery, edited in its Sixth Edition by Scott W. Wolfe, MD, provides today’s most complete, authoritative guidance on the effective surgical and non-surgical management of all conditions of the hand, wrist, and elbow. Now featuring a new full-color format, photographs, and illustrations, plus operative videos and case studies online at Expert Consult, this new edition shows you more vividly than ever before how to perform all of the latest techniques and achieve optimal outcomes. Access the complete contents online, fully searchable, at expertconsult.com. Overcome your toughest clinical challenges with advice from world-renowned hand surgeons. Master all the latest approaches, including the newest hand implants and arthroplastic techniques. Get tips for overcoming difficult surgical challenges through "Author’s Preferred Technique" summaries. See how to perform key procedures step by step by watching operative videos online. Gain new insights on overcoming clinical challenges by reading online case studies. Consult it more easily thanks to a new, more user-friendly full-color format, with all of the photos and illustrations shown in color.
This issue of Medical Clinics, Guest Edited by Dr. Tracey A. Milligan, is devoted to Neurology. Articles in this issue include: Diagnosis of Neurologic Disorders; Dementia: Diagnosis and Treatment; Cerebrovascular Disease: Primary and Secondary Prevention; Seizures and Epilepsy; Migraine; Multiple Sclerosis and Autoimmune Neurology: Autoimmune Disease of the Brain and Spinal Cord; Concussion Evaluation and Management; Parkinsonism and Tremor; Compression and Entrapment Neuropathies; Peripheral Neuropathies; Falls and Gait Disorders; Nonmigraine Headache and Facial Pain; and Examination of the Dizzy Patient.