Types and Mechanisms of Injury The typical patient with a brachial plexus injury is a young man involved in a motorcycle accident. Although his helmet in many cases saves his…
Sciatic Nerve General Considerations Being the largest nerve in the body, the sciatic nerve usually consists of L4–S3 contributions. After its intrapelvic course in the vicinity of the sacrum, the…
Fig. 7.1 Normal median nerve within the carpal tunnel. On axial T1w (a), it is isointense to muscle (flexor carpi ulnaris, asterisk) and exhibits a fascicular appearance; on STIR (b), it…
The syndrome can be divided grossly into vascular TOS and neurogenic TOS (NTOS). The vascular form can target the subclavian artery, causing distal ischemia, or the subclavian vein, characterized by…
Selection for surgery In the Leiden Nerve Center, the Netherlands, surgery for NBPL is rarely performed before 3 months of age, but it is almost always done before the age…
Evaluation and Approach A thorough understanding of the nerve injury is imperative following a clinical diagnosis. This is because subsequent management strategies are strongly based on the type of insult…
Fig. 3.1 (a) Schematic drawing of the basic structure of normal peripheral nerves. (b) The essential elements of the three layers of peripheral nerves. Nerves are subjected to trauma by many…
Epidemiology and Causative Mechanisms Described in the medical literature as late as in the 1960s, 1 posttraumatic injuries of the lumbosacral plexus have received less attention than other nerve lesions,…
Epidemiology and Risk Factors Neonatal brachial plexus palsy (NBPP) is injury to the brachial plexus that occurs before, during, or after labor and parturition. Reported incidence varies between approximately 0.5…
Reinnervation Priorities It must be stated as a preliminary remark that complete injuries rule out the possibility to restore the whole function of the upper limb: the reconstruction scheme follows…
