Peripheral Nerve Entrapments

Clinical Diagnosis and Management

Author: Andrea M Trescot, MD, ABIPP, FIPP

Publisher: Springer

ISBN:

Category: Medical

Page: 902

View: 890

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.

Handbook of Peripheral Nerve Entrapments

Author: Oscar A. Turner

Publisher: Springer Science & Business Media

ISBN:

Category: Medical

Page: 240

View: 896

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.

Peripheral Nerve Disorders

Chapter 19. Compression and entrapment neuropathies

Author: P. Bouche

Publisher: Elsevier Inc. Chapters

ISBN:

Category: Medical

Page: 1008

View: 832

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.

Surgery of Peripheral Nerves

A Case-Based Approach

Author: Rajiv Midha

Publisher: Thieme

ISBN:

Category: Medical

Page: 288

View: 985

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 Entrapments

Clinical Diagnosis and Management

Author: Andrea M Trescot, MD, ABIPP, FIPP

Publisher: Springer

ISBN:

Category: Medical

Page: 902

View: 107

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.

Nerve entrapment and compression disorders

Author: Sics Editore

Publisher: SICS Editore

ISBN:

Category: Medical

Page:

View: 917

Compression neuropathy, i.e. peripheral nerve compression, is caused by external pressure on the nerve that is often a one-time occurrence (e.g. a night's drunken sleep with the upper arm pinched), or occasionally intermittent (e.g. leaning on the elbow while on the telephone). Compression neuropathy usually recovers spontaneously once the external pressure is removed. Entrapment neuropathy, i.e. peripheral nerve entrapment, means that the nerve is compressed between surrounding anatomical structures. The pressure is usually persistent, although its severity may vary according to the extent of tissue oedema and strain on the limb. In order to recover completely, entrapment neuropathies generally require treatment (reduction of the oedema, surgical release of the nerve, etc.).

Analysis of Vascular Changes After Peripheral Nerve Decompression

Author: Nevil Gautamkumar Patel

Publisher:

ISBN:

Category:

Page: 0

View: 120

Cubital tunnel syndrome is an example of a nerve entrapment syndrome where the ulnar nerve is compressed by the surrounding muscles and tissues of the cubital tunnel. Symptoms of peripheral nerve entrapment include pain, numbness, and reduced motor function. Peripheral nerve decompression is one clinical management strategy for nerve entrapment syndromes that involves physically decompressing the nerve from its surrounding muscle and tissues in order the reduce the compression that is experienced by the nerve. The vascular changes that occur to the endogenous and exogenous vascular systems of peripheral nerves following peripheral nerve decompression are not fully understood. In this study, blood perfusion measurements were recorded via laser doppler flowmetry before and after peripheral nerve decompression in the sciatic nerves of rats. We found that peripheral nerve decompression resulted in a significant decrease in blood perfusion to the distal portion of sciatic nerve that is under tension. However, these vascular deficits were reversed within 6 weeks after the decompression surgery. This study is intended to display the unintended effects on the vascular system following peripheral nerve decompression.

Tunnel Syndromes

Author: Marko M. Pecina

Publisher: CRC Press

ISBN:

Category: Medical

Page: 336

View: 241

The need for a comprehensive resource with easy-to-find information has increased with the addition of nine new syndromes. Tunnel Syndromes: Peripheral Nerve Compression Syndromes provides a quick overview of tunnel syndromes including the definition, anatomy, etiology, clinical signs and symptoms, and treatment. It presents a total of 50 tunnel syndromes. Following the tradition of the first two editions, this resource continues to probe the origins of tunnel syndromes and to propose probable causes that lead to them. All existing chapters have been updated and new chapters have been added including: Spinal accessory nerve syndrome Intercostobrachial nerve syndrome Notalgia paresthetica Medial antebrachial cutaneous nerve syndrome Distal posterior interosseous nerve syndrome Medial superior cluneal nerve syndrome Pudendus nerve syndrome Lateral plantar nerve syndrome Medial plantar nerve syndrome New in this Edition: New syndromes of clinical importance Improved illustrations, including new magnetic resonance images Twenty-seven new drawings (graphic designs) and twenty new photos Updated references with a total of more than 1,650 citations

Treatment of Nerve Injury and Entrapment Neuropathy

Author: Y. Hirasawa

Publisher: Springer Science & Business Media

ISBN:

Category: Medical

Page: 179

View: 938

Peripheral nerve injury and entrapment neuropathy often are complicated by injury to adjacent tissue such as bone, joints, blood vessels, and tendons. Clinicians who provide primary care in these areas require extensive knowledge of methods for treating wounds and nerve injuries. The most important element in the treatment of peripheral nerve injury is appropriate surgical repair or functional reconstruction; postoperative physical and occupational therapy are also necessary. This book summarizes current topics in Japan and other countries in the field of surgical nerve repair, including selection of treatment methods for peripheral nerve paralysis, practical issues in surgery, and aspects of postoperative care. The importance of evidence-based medicine is emphasized, with appropriate therapy decided on the basis of objective data. The book has a broad appeal to include general clinicians, clinical trainees, and allied health-care professionals.

Ultrasound-Guided Peripheral Nerve Blocks

Author: Enzo Silvestri

Publisher: Springer

ISBN:

Category: Medical

Page: 148

View: 567

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.