BookAlexander Y. Shin, Nicholas Pulos, editors.
Summary: Fully illustrated and enhanced with accompanying video clips, this comprehensive text presents the clinical evaluation and management of brachial plexus injuries and reconstruction, both for adult patients and birth injuries. Divided into two main sections, part one covers adult brachial plexus injuries, discussing the relevant anatomy and biology, epidemiology, and associated injuries. The main focus, however, is on diagnosis the clinical exam as well as neurodiagnostic and radiographic evaluation and surgical management approaches and techniques, including nerve grafting and transfers, tendon and muscle transfers, and joint fusion. Related topics are presented in chapters on sensory reinnervation, neuropathic pain management, the role of amputation and prosthetics, and pre- and post-surgical therapy protocols. Brachial plexus birth injury is described in part two, also focusing mainly on diagnosis and management but with an emphasis on the fact that babies are not small adults and special considerations are warranted. This section concludes with chapters on the management of late complications and long-term sequelae. A comprehensive surgical text on brachial plexus injuries has not been previously attempted. Filling a large gap in the literature, Operative Brachial Plexus Surgery is the go-to resource for adult and birth related brachial plexus reconstruction for orthopedic surgeons, neurosurgeons, plastics surgeons, and their trainees.
Contents:
Adult Brachial Plexus Injuries: A Historical Perspective
Part 1 SURGICAL ANATOMY
Surgical Anatomy of the Brachial Plexus
Mechanisms of Injury
Biology of Nerve Injury
Epidemiology of Adult Traumatic Brachial Plexus Injuries
Associated Concomitant Injuries
EVALUATION
Examination of the Adult Brachial Plexus Patient
Neurodiagnostic Evalution: EMG and NCS
Neurodiagnostic Evalution: Intraoperative Monitoring
Adult Brachial Plexus Injuries: Evaluation radiologic Evaluation
ADULT BRACHIAL PLEXUS INJURIES: DETERMINANTS OF TREATMENT (TIMING, INJURY TYPE, INJURY PATTERN)
Priorities of Treatment and Rationale in Adult BPI
TREATMENT OPTIONS IN ADULTS Root Grafting in Adult Brachial Plexus Injuries
Nerve Transfers to Shoulder and Elbow
Free-Functioning Muscle Transfer
Tendon Transfers of the Shoulder, Elbow, Wrist and Hand
Glenohumeral arthrodesis in brachial plexus palsy
Reconstructive Options for the Thumb Axis in a Brachial Plexus Injury
Wrist arthrodesis in the adult brachial plexus patient
SURGICAL APPROACHES
Supraclavicular Exposure of the Brachial Plexus
Infraclavicular Exposure of the Brachial Plexus
Posterior Approach for Spinal Accessory to Suprascapular Nerve
Surgical Approach: Axillary Posterior
Anterior Approach for Axillary Nerve Reconstruction
Upper brachium approach: the lnar-Biceps Median-Brachialis double nerve transfer
Intercostal nerve harvest in brachial plexus injuries
Sural Nerve Harvest
Contralateral C7 nerve transfer in the Treatment of Adult Brachial plexus Injuries and Spastic Hemiplegia
The harvest of a free innervated functional gracilis muscle and its use in brachial plexus injuries
MANAGEMENT OF SPECIFIC INJURY PATTERNS
Management of C5-6 Injuries
Management of C5-7 Injuries.-Strategies for Pan Brachial Plexus Reconstruction: The Mayo Clinic Brachial Plexus Team Approach
Lower type injuries of the brachial plexus (C6-T1, C7-T1 and C8-T1 root involvement)
RESTORATION OF HAND FUNCTION IN PAN PLEXUS INJURY
Restoration of Hand Function in Pan Plexus Injury - Double Free Functioning Muscle Transfer.-Restoration of hand function in total brachial plexus avulsion injury
Intercostal nerve transfer for sensory reconstruction of the hand following complete avulsion of the brachial plexus
Management of Neuropathic Pain Role of Amputation and Prosthetic Fitting
The Role of Therapy: Pre and Post-Surgery Protocols
PEDIATRIC BRACHIAL PLEXUS INJURY
Historical Perspectives
Mechanism of Injury
The Biology of Brachial Plexus Birth Injuries
Epidemiology of Obstetrical Brachial Plexus Injuries
Associated Concomitant Injuries
Clinical Examination of the Child with Brachial Plexus Birth Injury
Operative Brachial Plexus Surgery: Brachial Plexus Birth Injury - Neurodiagnostic Evaluation
Pediatric Brachial Plexus Injuries: Evaluation radiologic Evaluation
Priorities of Treatment and Rationale (Babies Are Not Small Adults)
Treatment Options in Babies
Surgical Approaches
Management of Specific Patterns of Injury-Erbs and Extended Erbs Palsy
Management of Specific Patterns of Injury-Pan Plexus
Expected Outcomes
Late Complications and Treatmen.