Peripheral nerve compressions of the upper extremity
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Philadelphia [u.a.]
Saunders
1996
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| Schriftenreihe: | The orthopedic clinics of North America
27,2 |
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| 245 | 1 | 0 | |a Peripheral nerve compressions of the upper extremity |c Verghese George guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1996 | |
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Datensatz im Suchindex
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| adam_text | PERIPHERAL NERVE COMPRESSIONS OF THE UPPER EXTREMITY
CONTENTS
Preface xiii
Verghese George, MD
Anatomic Considerations of the Peripheral Nerve in Compressive
Neuropathies of the Upper Extremity 211
Verghese George and Aloysius G. Smith
A concise review of the internal anatomy of the peripheral nerve and the
inter nervous planes is presented to help a practicing upper extremity sur¬
geon better understand and operate on the nerves of the upper extremity.
Dynamics and Pathophysiology of Nerve Compression in the
Upper Extremity 219
Joel S. Delfiner
Nerve compression syndromes are common disorders. The distinctive
pathologic changes in the nerves are directly related to the physiologic
changes that occur. The symptoms from which people suffer are due to
these physiologic changes. This article describes the relevant pathologic
and physiologic changes of compressed nerves and their relation to the
signs and symptoms that result.
Clinical Diagnosis of Peripheral Nerve Compression in the
Upper Extremity 227
Cecily Anto and Padmaja Aradhya
Compression neuropathies are common in clinical practice. This article is a
review of the clinical features of the common entrapment neuropathies af¬
fecting the upper extremity. The frequently found entrapment syndromes
are discussed in detail. Uncommon syndromes are also briefly discussed.
Electrodiagnosis in Compression Neuropathies of the Upper Extremities 237
Maria P. de Araujo
Compression neuropathies may occur at several points along the course of
a nerve. Electrodiagnostic studies are helpful in the evaluation of nerve
compression. Nerve conduction studies are the most useful of these tech
ORTHOPEDIC CLINICS OF NORTH AMERICA
VOLUME 27 • NUMBER 2 • APRIL 1996 vii
niques in determining the site of compression. Compression neuropathies
of the upper extremities are common, and a well planned study is impor¬
tant to localize the site of involvement and the severity of the nerve dam¬
age.
Differential Diagnosis and Pitfalls in Electrodiagnostic Studies and
Special Tests for Diagnosing Compressive Neuropathies 245
Mark A. Kaufman
The differential diagnosis of compressive neuropathies in the arms in¬
cludes syndromes involving the nerve roots and brachial plexus, as well as
the peripheral nerves. Often these conditions coexist. Nerve conduction ve¬
locity studies as well as electromyography have a role along with the clini¬
cal evaluation in differentiating these conditions. Limitations in routine
electrodiagnostic testing are present, which necessitate several specialized
techniques for identifying compressive neuropathies.
Cervical Radiculopathy 253
Bradley D. Ahlgren and Steven R. Garfin
This article discusses the relevant anatomy, clinical presentation, diagnosis
and surgical treatment for cervical radiculopathy. The etiology of cervical
radiculopathy can play a role in the subsequent treatment of this problem.
Both anterior and posterior surgical management is discussed.
Thoracic Outlet Compression Syndrome 265
Erdogan Atasoy
This article is concerned with thoracic outlet compression syndrome
(TOCS), one of the most controversial subjects in medicine. It may also be
the most underrated, overlooked, misdiagnosed, and probably the most
important and difficult to manage peripheral nerve compression in the up¬
per extremity. Contents of the chapter include the historical aspect,
anatomy, etiology and incidence, pathophysiology, symptomatology, diag¬
nosis, conservative and surgical treatment, other conditions associated
with TOCS, and results of TOCS surgical treatment.
Radial Nerve Entrapment 305
James M. Kleinert and Sanjiv Mehta
The radial nerve is frequently more involved in entrapment syndromes
than the ulnar and median nerves. Common sites of compression are the
juncture of the middle and distal third of the arm (especially with fractures
of the humerus), just distal to the elbow (radial tunnel), and proximal to
the wrist between the brachioradialis and extensor carpi radialis longus.
Often in entrapment syndromes involving the radial nerve, the true diag¬
nosis is not evident and is arrived at only by exclusion, which sometimes
delays initiation of effective treatment. Radial tunnel syndrome is rare, but
decompression when indicated, can provide relief. Radial sensory nerve
entrapment in the forearm (distal third) does occur, but patients often re¬
spond to temporary thumb spica splinting.
Ulnar Nerve Anatomy and Compression 317
David Khoo, Stephen W. Carmichael, and Robert J. Spinner
Compression of the ulnar nerve can be understood in terms of the
anatomic and dynamic factors. Although the ulnar nerve may be com¬
pressed at any point along its course, it is particularly susceptible at the el¬
bow and at the wrist. Clinically relevant anatomy will be reviewed in an at
viii CONTENTS
tempt to provide the reader with a logical framework for successfully diag¬
nosing and managing typical and atypical ulnar nerve compression lesions.
Intraepineurial Constriction of Nerve Fascicles in Pronator Syndrome
and Anterior Interosseous Nerve Syndrome 339
Peter Haussmann and Mukund R. Patel
A small group of patients with pronator syndrome and anterior in¬
terosseous nerve syndrome are not cured after external decompression.
These patients may have intraepineurial constrictioin of nerve fascicles. If
external nerve constriction is not obvious at the time of decompression,
epineurotomy and intraepineurial decompression of the nerve fascicles is
indicated. This proved successful in several cases.
Carpal Tunnel Syndrome 345
Roy G. Kulick
Carpal tunnel syndrome is the most common compressive neuropathy. Its
cause is usually an increased mass of synovium pressing the median nerve
against the transverse carpal ligament. While conservative treatment will
bring temporary relief of the symptoms, it generally will not stop progression
of the disease. Surgical release of the ligament is the most effective treatment.
Newer Techniques of Carpal Tunnel Release 355
M. Ather Mirza and Eugene T. King, Jr.
In this article, after a brief account of the history and evolution of endo
scopic carpal tunnel release, limited incision techniques, and an overview
of the relevant anatomy, the authors describe various methods and instru¬
mentation. The results, complications, and contraindications are noted.
Subsequent discussion of the objections to and the special requirements of
new techniques leads to judgment on the choice of methods by the authors.
Pitfalls of Endoscopic Carpal Tunnel Release 373
Nicole Einhorn and Joseph P. Leddy
The article details various pitfalls of endoscopic carpal tunnel release.
Highlighted are the two portal Chow technique and the single portal Agee
technique.
Multiple Compression Neuropathies and the Double Crush Syndrome 381
Roger L. Simpson and Steven A. Fern
Multiple compressions along a nerve will have a cumulative effect on con¬
duction, both antegrade and retrograde. This will render the nerve more
susceptible to a second source of compression. The proximal source of
compression may be subclinical yet responsible for the cumulative com¬
pression syndrome. The primary crush may be anatomic or metabolic in
origin. Decompression of a nerve with multiple levels of compression may
not relieve all symptoms. Identification of dynamic and nonsurgical types
of compression can determine the prognosis for complete recovery.
Unusual Compressive Neuropathies of the Upper Limb 389
A. Lee Osterman and Sushrut Babhulkar
This article details the history, diagnosis, treatment, and differential diag¬
nosis for the more unusual compression neuropathies of the arm. The ma¬
jority of these occur around the shoulder girdle but also include cutaneous
sensory neuropathies.
CONTENTS ix
Persistence of Symptoms After Surgical Release of Compressive
Neuropathies and Subsequent Management 409
Richard S. Idler
Persistent symptoms following release of a compressive neuropathy may
be the result of the wrong diagnosis, inadequate decompression, iatrogenic
compression, double crush syndrome, or end stage disease. Management
of the patient requires careful re examination of all available data to arrive
at a correct diagnosis while ruling out other elements of the differential di¬
agnosis. Revision surgery is indicated only with a confirmed diagnosis.
Revision surgery must relieve residual nerve compression, maintain or en¬
hance neurovascularity, prevent neuritises, and provide protective
padding of the entrapped nerve.
Index 417
Subscription Information Inside back cover
x CONTENTS
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| illustrated | Illustrated |
| indexdate | 2024-12-23T14:10:43Z |
| institution | BVB |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-007186165 |
| oclc_num | 260201651 |
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| physical | X S., S. 211 - 420 zahlr. Ill. |
| publishDate | 1996 |
| publishDateSearch | 1996 |
| publishDateSort | 1996 |
| publisher | Saunders |
| record_format | marc |
| series | The orthopedic clinics of North America |
| series2 | The orthopedic clinics of North America |
| spellingShingle | Peripheral nerve compressions of the upper extremity The orthopedic clinics of North America Kompressionssyndrom (DE-588)4410066-8 gnd Peripherer Nerv (DE-588)4173789-1 gnd Arm (DE-588)4002931-1 gnd |
| subject_GND | (DE-588)4410066-8 (DE-588)4173789-1 (DE-588)4002931-1 (DE-588)4143413-4 |
| title | Peripheral nerve compressions of the upper extremity |
| title_auth | Peripheral nerve compressions of the upper extremity |
| title_exact_search | Peripheral nerve compressions of the upper extremity |
| title_full | Peripheral nerve compressions of the upper extremity Verghese George guest ed. |
| title_fullStr | Peripheral nerve compressions of the upper extremity Verghese George guest ed. |
| title_full_unstemmed | Peripheral nerve compressions of the upper extremity Verghese George guest ed. |
| title_short | Peripheral nerve compressions of the upper extremity |
| title_sort | peripheral nerve compressions of the upper extremity |
| topic | Kompressionssyndrom (DE-588)4410066-8 gnd Peripherer Nerv (DE-588)4173789-1 gnd Arm (DE-588)4002931-1 gnd |
| topic_facet | Kompressionssyndrom Peripherer Nerv Arm Aufsatzsammlung |
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