Traumatic Brachial Plexus Lesions: Clinical Aspects, Assessment, and Timing of Surgical Repair
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…
Compressive Lesions of the Lower Limb and Trunk
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…
Magnetic Resonance Neurography and Peripheral Nerve Surgery
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 Neonatal Brachial Plexus Lesion: Surgical Strategies
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…
Thoracic Outlet Syndrome
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…
Surgical Repair of Nerve Lesions: Neurolysis and Neurorrhaphy with Grafts or Tubes
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…
Nerve Injuries: Anatomy, Pathophysiology, and Classification
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…
Lumbosacral Plexus Injuries
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,…
Neonatal Brachial Plexus Palsy: Clinical Presentation and Assessment
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…