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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.
Adult Brachial Plexus Injuries: A Historical Perspective
Pages 1-15
Lu, Johnny Chuieng-Yi (et al.)
Surgical Anatomy of the Brachial Plexus
Pages 19-39
Llusá, Manuel (et al.)
Mechanisms of Injury
Pages 41-51
Wu, Kitty (et al.)
Biology of Nerve Injury
Pages 53-61
Isaacs, Jonathan E. (et al.)
Epidemiology of Adult Traumatic Brachial Plexus Injuries
Pages 63-68
Breyer, Juan Manuel (et al.)
Brachial Plexus-Associated Injuries
Pages 69-78
Dutton, Lauren (et al.)
Examination of the Adult Brachial Plexus Patient
Pages 81-98
Garcia, Brittany N. (et al.)
Adult Brachial Plexus Injuries: Neurodiagnostic Evaluation
Pages 99-110
Crum, Brian A.
Intraoperative Brachial Plexus Neurophysiological Monitoring
Pages 111-119
Crum, Brian A. (et al.)
Adult Brachial Plexus Injuries: Evaluation: Radiologic Evaluation
Pages 121-132
Diehn, Felix E. (et al.)
Adult Brachial Plexus Injuries: Determinants of Treatment (Timing, Injury Type, Injury Pattern)
Pages 133-139
Costales, Robla (et al.)
Priorities of Treatment and Rationale in Adult Brachial Plexus Injuries
Pages 141-152
Bishop, Allen T.
Root Grafting in Adult Brachial Plexus Injuries
Pages 155-162
Bertelli, Jayme Augusto (et al.)
Nerve Transfers to Shoulder and Elbow
Pages 163-179
O’Brien, Andrew L. (et al.)
Free-Functioning Muscle Transfer
Pages 181-193
Maldonado, Andrés A. (et al.)
Tendon Transfers of the Shoulder, Elbow, Wrist, and Hand
Pages 195-212
Wagner, Eric Richard (et al.)
Glenohumeral Arthrodesis in Brachial Plexus Palsy
Pages 213-230
Gharbaoui, Idris S.
Reconstructive Options for the Thumb Axis in a Brachial Plexus Injury
Pages 231-240
Chandler, Rowan M. (et al.)
Wrist Arthrodesis in the Adult Brachial Plexus Patient
Pages 241-245
Clark, Tod A. (et al.)
Supraclavicular Exposure of the Brachial Plexus
Pages 249-253
Puffer, Ross C. (et al.)
Infraclavicular Exposure of the Brachial Plexus
Pages 255-259
Noland, Shelley S. (et al.)
Posterior Approach for Spinal Accessory to Suprascapular Nerve Transfer
Pages 261-265
Murthy, Nikhil K. (et al.)
Surgical Approach: Axillary Posterior
Pages 267-271
Leechavengvongs, Somsak (et al.)
Anterior Approach for Axillary Nerve Reconstruction
Pages 273-283
Clifton Correa, Jorge Francisco (et al.)
Upper Brachium Approach: The “Ulnar-Biceps Median-Brachialis” Double Nerve Transfer
Pages 285-288
Belkheyar, Zoubir (et al.)
Intercostal Nerve Harvest in Brachial Plexus Injuries
Pages 289-296
Bhatia, Anil Ghanshyam (et al.)
Sural Nerve Harvest
Pages 297-300
Oh, Christine (et al.)
Contralateral C7 Nerve Transfer in the Treatment of Adult Brachial Plexus Injuries and Spastic Hemiplegia
Pages 301-314
Shen, Yun-Dong (et al.)
The Harvest of a Free Innervated Functional Gracilis Muscle and Its Use in Brachial Plexus Injuries
Pages 315-332
Giuffre, Jennifer L. (et al.)
Management of C5–6 Injuries
Pages 335-342
Uerpairojkit, Chairoj (et al.)
Management of C5–7 Injuries
Pages 343-350
Malungpaishrope, Kanchai (et al.)
Strategies for Pan-Brachial Plexus Reconstruction: The Mayo Clinic Brachial Plexus Team Approach
Pages 351-359
Archual, Anthony J. (et al.)
Lower-Type Injuries of the Brachial Plexus (C6–T1, C7–T1, and C8–T1 Root Involvement)
Pages 361-370
Bertelli, Jayme Augusto (et al.)
Restoration of Hand Function in Pan Plexus Injury – Double Free Functioning Muscle Transfer
Pages 373-381
Doi, Kazuteru (et al.)
Restoration of Active Grasp Function in Total Brachial Plexus Avulsion Injury
Pages 383-401
Wang, Shu-feng (et al.)
Intercostal Nerve Transfer for Sensory Reconstruction of the Hand Following Complete Avulsion of the Brachial Plexus
Pages 403-405
Hattori, Yasunori
Management of Neuropathic Pain
Pages 407-416
Bengtson, Keith A.
Prosthetics and Orthotics in Brachial Plexus Injury: Background, Historical Perspective, and Role of Amputation and Prosthetic Fitting
Pages 417-426
Nelson, Andrew (et al.)
The Role of Therapy: Pre- and Post-surgery Protocols
Pages 427-448
Jensen, Kimberly (et al.)
Historical Perspectives
Pages 451-458
Pondaag, Willem (et al.)
Brachial Plexus Birth Injury: Mechanism of Injury
Pages 459-464
Dardas, Agnes Z. (et al.)
The Biology of Brachial Plexus Birth Injuries
Pages 465-479
Cornwall, Roger
Epidemiology of Obstetrical Brachial Plexus Injury
Pages 481-485
Wall, Lindley (et al.)
Associated Concomitant Injuries
Pages 487-493
Ward, Ayobami (et al.)
Clinical Examination of the Child with Brachial Plexus Birth Injury
Pages 495-504
Bauer, Andrea S. (et al.)
Operative Brachial Plexus Surgery: Brachial Plexus Birth Injury – Neurodiagnostic Evaluation
Pages 505-509
Pondaag, Willem (et al.)
Brachial Plexus Birth Injuries: Evaluation—Radiologic Evaluation
Pages 511-515
Diehn, Felix E. (et al.)
Priorities of Treatment and Rationale (Babies Are Not Small Adults)
Pages 517-546
Kozin, Scott H. (et al.)
Specificity and Controversies in the Management of Obstetric Brachial Plexus Lesions
Pages 547-556
Bahm, Jörg
Surgical Approaches for Brachial Plexus Birth Injuries
Pages 557-582
Borrero, José L.
Management of Brachial Plexus Birth Injuries: Erbs and Extended Erbs Palsy
Pages 583-590
Stutz, Chris
Management of Brachial Plexus Birth Injuries: Pan Plexus
Pages 591-605
Lara, Alejandro Muset (et al.)
Expected Outcomes of Surgical Treatment in Obstetrical Brachial Plexus Injuries
Pages 607-615
Manske, M. Claire (et al.)
Brachial Plexus Birth Injury: Late Complications and Treatment (Shoulder, Forearm, and Hand)
Pages 617-638
Hems, Tim
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