Peripheral nerve surgery: practical applications in the upper extremity

This practical and comprehensive book provides you with today's best knowledge on the treatment of nerve injuries from the brachial plexus to the fingertip. Pioneers in peripheral nerve surgery from across North America and Europe offer you tips, pearls, and technical points gleaned from their decades of experience. They provide detailed discussions of standard techniques for nerve repair and grafting with the aid of electrodiagnostic techniques for fascicular matching, as well as new areas of end-to-side nerve repair, nerve transfers, and nerve conduits. Lists the indications and specific instances in which nerve transfers may be used in place of tendon transfers for previously unrepairable nerve injuries. Discusses the use of standard as well as new techniques of nerve reconstruction for the management of nerve injury for finger replantation or toe transfers. Examines the treatment of chronic pain with the use of autogenous vein wrapping as a barrier to fibrous ingrowth. Incorporates office-based studies and intraoperative nerve monitoring techniques so you can better interpret the electrodiagnostic test results for enhanced decision making in the treatment of nerve injuries. Presents all clinically oriented chapters in a standardized format to include indications a brief review of the literature step-by-step surgical instructions and results emphasizing the authors' own methods and experiences. Provides expert coverage on how to section the nerve, which graft to use, and how to perform a matched fascicular repair. Explores the use of two different, commercially available synthetic conduits. Covers the indications, results, and technical points of neurotization for otherwise unsalvageable nerve avulsions.

1. Nerve Injury and Repair: From Molecule to Man -- NERVE REPAIR AND RECONSTRUCTION -- 2. Primary Nerve Repair -- 3. Nerve Grafting -- 4. A Practical Approach to Nerve Grafting in the Upper Extremity -- 5. End-to-side Neurorraphy -- 6. Upper Extremity Nerve Transfers -- 7. Treatment of Irreparable Nerve Damage in the Hand -- 8. Vein Wrapping of Scarred Peripheral Nerves -- 9. Nerve Conduits Alternatives to Nerve Autograft -- -- 10. Clinical Results with the Polyglycolic Acid Neurotube₉ for Nerve Repair and Reconstruction -- -- NEUROSENSORY FLAPS -- 11. Pedicled Neurosensory Flaps for Hand Coverage -- 12. The First Web-Space Flap -- 13. Neurosensory Free flaps -- FUNCTIONAL RESTORATION -- 14. Direct Muscular Neurotisation -- 15. Nerve Repair in Upper Extremity Replantation and Toe-to-Hand Transfers -- 16. Muscle-Tendon Transfers for Traumatic Nerve Injuries -- COMPRESSIVE NEUROPATHIES -- 17. Median Nerve -- 18. Distal Ulnar Nerve Entrapment -- 19. Proximal Ulnar Nerve Entrapment -- 20. Compression Neuropathies of Radial Nerves -- 21. Double Crush Syndrome -- 22. Thoracic Outlet Syndrome -- BRACHIAL PLEXUS SURGERY -- 23. Adult and Obstetrical Brachial Plexus Injuries -- ELECTRODIAGN…