Handbook of Peripheral Nerve Entrapments

Author: Oscar A. Turner

Publisher: Springer Science & Business Media


Category: Medical

Page: 240

View: 158

The present publication relating to peripheral nerve entrapment is an attempt to bring to the attention of physicians an easily readable source of information on this common class of disorders. Frequently encountered disturbances as well as the more obscure entrapments have been included in the volume. The book should have a wide distribution. Despite the neuro logical and neurosurgical orientation, there is much of value for or thopedists and specialists in peripheral vascular disease. There is much of benefit for the general practitioner, with considerable in formation for those in training. There have been relatively few texts published in this field. The material has been organized to give the maximum pertinent infor mation in an easily read and concise arrangement. The various fac tors have been listed with a discussion of therapy. Included is an appendix describing specific methods for testing the function of the individual muscles, and tables for rapid evaluation of individual symptoms. The work is the result of lengthy personal experience and an extensive review of the literature. To make further study attainable, selected references have been cited following each section. Illustra tions have been employed where they could further understanding of the problem involved. Oscar A. Turner Norman Taslitz Steven Ward v Acknowledgments A publication such as this one cannot be the result of a single in dividual's work, and as such, one must acknowledge the help and support of those who were involved in the final preparation. Mrs.

Ultrasound-Guided Peripheral Nerve Blocks

Author: Enzo Silvestri

Publisher: Springer


Category: Medical

Page: 148

View: 368

This book offers a comprehensive but straightforward, practical handbook on ultrasound (US)-guided nerve blocks. It presents the normal US anatomy of peripheral nerves, clinical aspects of nerve entrapment and different procedures / techniques for each block. Axial or peripheral chronic radicular pain can be particularly severe and debilitating for the patient. The aim of treatment is to provide medium-/ long-term pain relief, and consequently to restore function. The therapeutic nerve block, performed with a perineural injection of anaesthetic, steroid or painkiller, is generally used once conservative treatments have proven unsuccessful and is aimed to avoid surgical options. Ultrasound guidance, offering the direct and real-time visualization of the needle and adjacent relevant anatomic structures, significantly increases the accuracy and safety of nerve blocks reducing the risk of intraneural or intravascular injection and the potential damage to the surrounding structures, but also enhances the efficacy of the block itself, reducing its onset and drug doses. This practical volume addresses the needs of physicians dealing with pain management, e.g. anaesthesiologists, radiologists, orthopaedists and physiatrists, with various levels of experience, ranging from physicians in training to those who already perform peripheral nerve blocks with traditional techniques and who want to familiarize with US guided procedures.

Peripheral Nerve Entrapments

Clinical Diagnosis and Management

Author: Andrea M Trescot, MD, ABIPP, FIPP

Publisher: Springer


Category: Medical

Page: 902

View: 808

Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications. Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain. As an example, one of the most common forms of nerve entrapment syndrome, Carpal Tunnel Syndrome, affects roughly 1 in 20 people in the United States, and is only one of several types of entrapment syndromes possible for the median nerve. Chapters are also extensively illustrated and include 3D anatomical images. The additional online material enhances the book with more than 50 videos - at least 2 for each nerve. This enables readers to easily navigate the book. In addition to a conventional index it includes a “Pain Problems Index” for searching by symptom. Peripheral Nerve Entrapments: Clinical Diagnosis and Management is a long-needed resource for pain physicians, emergency room physicians, and neurologists.

High-Resolution Ultrasonography for Peripheral Nerve Diagnostics

A Guide for Clinicians Involved in Diagnosis and Management of Peripheral Nerve Disorders

Author: Einar P. Wilder-Smith

Publisher: World Scientific


Category: Medical

Page: 73

View: 665

The past 10 years have seen the explosive expansion of the field of high-resolution imaging of the peripheral nervous system because of technical advances in sonography, allowing for good resolution, rapid imaging and (relatively) inexpensive images of the peripheral nervous structures. This timely volume presents the rapid advances and clinical relevance of high-resolution sonography for peripheral nerve diagnostics in a precise and clinically relevant way. The book begins by describing the characteristics of normal and diseased peripheral nerves, and then discusses the value of sonography in common conditions, with the help of clear and easy-to-understand illustrations to explain how to proceed to identify structures. The topics covered include common entrapment neuropathies (carpal tunnel syndrome, ulnar neuropathy, radial neuropathy, peroneal neuropathy) and other conditions in which sonography can play a role in diagnosis, such as CIPD, motor neuropathy with multiple conduction blocks, leprosy, and brachial plexus disorders. High-Resolution Ultrasonography for Peripheral Nerve Diagnostics is an essential guide for those involved in the diagnostic work-up of peripheral nerve disorders. It gives a precise and practical overview of this rapidly emerging field whilst maintaining a practical bent. Clinical neurophysiologists, neurologists, orthopedic surgeons, hand surgeons and rehabilitation medicine specialists will all benefit from having this book. Sample Chapter(s). Chapter 1: Introduction (208 KB). Contents: Introduction; Finding the Nerve; Clinical Applications. Readership: Neurologists, clinical neurophysiologists, orthopedic surgeons, hand surgeons, rehabilitation medicine specialists.

Peripheral Nerve Disorders

Chapter 8. Imaging of the peripheral nervous system

Author: Guido Stoll

Publisher: Elsevier Inc. Chapters


Category: Medical

Page: 1008

View: 835

This chapter summarizes progress in the evaluation of peripheral nerve (PN) lesions and disorders by imaging techniques encompassing magnetic resonance imaging (MRI) and nerve ultrasound (US). Due to the radiation exposure and limited sensitivity in soft tissue contrast, computed-tomography (CT) plays no significant role in the diagnostic work-up of PN disorders. MRI and US are complementary techniques for the evaluation of peripheral nerves, each having particular advantages and disadvantages. Nerve injury induces intrinsic MRI signal alterations on T2-weighted sequences in degenerating or demyelinating nerve segments as well as in corresponding muscle groups exhibiting denervation which can be exploited diagnostically. Nerve US is based on changes in the nerve echotexture due to tumor formation or focal enlargement caused by entrapment or inflammation. Both MRI and US provide morphological information on the precise site and extent of nerve injury. While US has the advantage of easy accessibility, providing images with superior spatial resolution at low cost, MRI shows better soft tissue contrast and better image quality for deep-lying nerve structures since imaging is not hindered by bone. Recent advances have remarkably increased spatial resolution of both MRI and US making imaging indispensible for the elucidation of causes of nerve compression, peripheral nerve tumors, and focal inflammatory conditions. Both MRI and US further guide neurosurgical exploration and can simplify treatment. Importantly, imaging can reveal treatable conditions even in the absence of gross electrophysiological alterations, illustrating its increasing role in clinical practice. In experimental settings, novel molecular and cellular MRI contrast agents allow in-vivo assessment of nerve regeneration as well as monitoring of neuroinflammation. Depending on further clinical development, contrast-enhanced MRI has the potential to follow cellular responses over time in vivo and to overcome the current limitations of histological assessment of nerve afflictions. Further advances in contrast-enhanced US has the potential for developing into a tool for the assessment of nerve blood perfusion, paving the way for better assessments of ischemic neuropathies.

Compressive Neuropathies of the Upper Extremity

A Comprehensive Guide to Treatment

Author: Dean G. Sotereanos

Publisher: Springer Nature


Category: Medical

Page: 283

View: 602

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.

Peripheral Nerve Injuries: A Clinical Guide

Author: Rolfe Birch

Publisher: Springer Science & Business Media


Category: Medical

Page: 270

View: 840

​ Peripheral Nerve Injuries: A Clinical Guide is a fully illustrated and informative reference on injuries within the peripheral nervous system. It incorporates new knowledge in molecular and cellular events which underlie the response of nerves to injury, regeneration and neuropathic pain. Written by a leading expert in the field, Peripheral Nerve Injuries: A Clinical Guide, is a valuable resource for surgeons in residence and training.

Surgery of Peripheral Nerves

A Case-Based Approach

Author: Rajiv Midha

Publisher: Thieme


Category: Medical

Page: 288

View: 320

Surgery of Peripheral Nerves: A Case-Based Approach is a concise, single-volume reference for managing the entire spectrum of peripheral nerve pathologies, from brachial plexus injuries to lower extremity nerve entrapments. It features 57 cases that are grouped in sections by anatomic location of the problem to aid rapid reference to topics of interest, with one additional section that addresses the management of nerve tumors, painful nerve conditions, and other injuries and syndromes. Each chapter provides concise descriptions of case presentation, diagnosis, anatomy, characteristic clinical presentation, differential diagnosis, diagnostic tests, management options, and surgical treatment.Highlights: Case-based format thoroughly prepares the reader for managing various problems in the clinical setting Diagnostic guidelines and management strategies from leading experts in the field of peripheral nerve surgery enable clinicians to confidently handle each stage of patient care Pearls and Pitfalls at the end of each chapter highlight critical aspects of treatment and are ideal for at-a-glance review prior to surgery More than 150 illustrations demonstrate key concepts Suggested readings with brief summaries provide valuable reviews of the literature This problem-oriented textbook is ideal for clinicians, fellows, and residents in neurosurgery, orthopaedics, plastic surgery, and hand surgery. It also serves as an indispensable reference for specialists in physical medicine and rehabilitation, neurology, emergency medicine, pain management, and physical and occupational therapy.

Peripheral Nerve Conditions: Using Evidence to Guide Treatment, An Issue of Hand Clinics,

Author: Warren C. Hammert

Publisher: Elsevier Health Sciences


Category: Medical

Page: 153

View: 785

The peripheral nerves of the hand are absolutely essential to the basic senses of that area, and motor function. Conditions that can occur to the peripheral nerves of the hand include neuromas, nerve death, compression, and blunt traumatic injury. This issue will cover all of these topics, along with papers on general anatomy, healing techniques, and rehabilitation.