Ortopedia y Traumatología
Cirugía de Mano y Microcirugía
viernes, 31 de octubre de 2014
lunes, 27 de octubre de 2014
domingo, 26 de octubre de 2014
Median Nerve to Radial Nerve transfer with PT to ECRB Tendon transfer
http://orthopaedicprinciples.com/2014/10/median-nerve-to-radial-nerve-transfer-with-pt-to-ecrb-tendon-transfer/?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+orthopaedicprinciples+%28Orthopaedicprinciples.com+%29
http://youtu.be/Bx_wYU-kRNE?list=UUitZY_9PHHyR1EKEnbQjiwg
http://youtu.be/Bx_wYU-kRNE?list=UUitZY_9PHHyR1EKEnbQjiwg
Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfers - Extended
Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfers with PT to ECRB Tendon Transfer
Extended Edition (140820.140820)
Radial nerve palsy is a debilitating nerve injury that results in lost of wrist and finger extension, which classically presents as wrist drop. The two reconstructive options for managing this injury are tendon transfers and nerve transfers, each with their advantages and disadvantages. Nerve transfers are able to provide independent finger extension, however there is an associated prolonged recovery period in comparison to tendon transfers for radial nerve palsy. Electing the appropriate surgical management depends on the patient’s demands and needs. Nerve transfers for radial nerve palsy includes two transfers: (1) FCR to PIN and (2) FDS to ECRB. The tendon transfer for wrist extension can be elected for an early outcome and includes the transfer of the pronator teres to ECRB tendon. In this case, the patient presented three months following a severe MVC and suffered a radial nerve transection associated with a humeral facture. Due to the patient’s needs, the median to radial nerve transfers were elected with the pronator teres to ECRB tendon transfer. To restore radial nerve sensation, an end-to-side nerve transfer was additionally performed and included the radial sensory nerve end-to-side into the sensory component of the median nerve.
Table of Contents (Extended)
00:30 Orientation / Incision / Exposure
03:17 Identification and Distal Exposure of the Pronator Teres Tendon
07:05 Releasing and Elevating the Pronator Teres Tendon
10:10 Proximal Exposure of the Median Nerve
11:20 Dissection Lateral to the Pronator Teres
14:05 Identifying and Stimulation the Median Nerve and Donor Nerve Branches
16:50 Proximal Exposure of the Radial Nerve
19:14 Dividing the Leash of Henry and Leading-edges of ECRB and Supinator
24:47 Identifying the Radial Nerve and Recipient Nerve Branches
25:07 Proximal Division of the Recipient Radial Nerve Branches
26:15 Removing the Supinator Nerve from the Posterior Interosseous Nerve
26:26 Proximal Division of the Recipient Superficial Branch of Radial Nerve
27:20 Distal Division of the Donor Median Nerve Branches
32:42 Median to Radial Nerve Transfers with End-to-side Radial Sensory Nerve Transfer
33:11 Releasing the Brachioradialis Tendon and Superficial Branch of Radial Nerve
33:44 Pronator Teres to ECRB Tendon Transfer
Narration: Susan E. Mackinnon
Videography: Andrew Yee
Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse.
Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfers with PT to ECRB Tendon Transfer
Extended Edition (140820.140820)
Radial nerve palsy is a debilitating nerve injury that results in lost of wrist and finger extension, which classically presents as wrist drop. The two reconstructive options for managing this injury are tendon transfers and nerve transfers, each with their advantages and disadvantages. Nerve transfers are able to provide independent finger extension, however there is an associated prolonged recovery period in comparison to tendon transfers for radial nerve palsy. Electing the appropriate surgical management depends on the patient’s demands and needs. Nerve transfers for radial nerve palsy includes two transfers: (1) FCR to PIN and (2) FDS to ECRB. The tendon transfer for wrist extension can be elected for an early outcome and includes the transfer of the pronator teres to ECRB tendon. In this case, the patient presented three months following a severe MVC and suffered a radial nerve transection associated with a humeral facture. Due to the patient’s needs, the median to radial nerve transfers were elected with the pronator teres to ECRB tendon transfer. To restore radial nerve sensation, an end-to-side nerve transfer was additionally performed and included the radial sensory nerve end-to-side into the sensory component of the median nerve.
Table of Contents (Extended)
00:30 Orientation / Incision / Exposure
03:17 Identification and Distal Exposure of the Pronator Teres Tendon
07:05 Releasing and Elevating the Pronator Teres Tendon
10:10 Proximal Exposure of the Median Nerve
11:20 Dissection Lateral to the Pronator Teres
14:05 Identifying and Stimulation the Median Nerve and Donor Nerve Branches
16:50 Proximal Exposure of the Radial Nerve
19:14 Dividing the Leash of Henry and Leading-edges of ECRB and Supinator
24:47 Identifying the Radial Nerve and Recipient Nerve Branches
25:07 Proximal Division of the Recipient Radial Nerve Branches
26:15 Removing the Supinator Nerve from the Posterior Interosseous Nerve
26:26 Proximal Division of the Recipient Superficial Branch of Radial Nerve
27:20 Distal Division of the Donor Median Nerve Branches
32:42 Median to Radial Nerve Transfers with End-to-side Radial Sensory Nerve Transfer
33:11 Releasing the Brachioradialis Tendon and Superficial Branch of Radial Nerve
33:44 Pronator Teres to ECRB Tendon Transfer
Narration: Susan E. Mackinnon
Videography: Andrew Yee
Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse.
Extended Edition (140820.140820)
Radial nerve palsy is a debilitating nerve injury that results in lost of wrist and finger extension, which classically presents as wrist drop. The two reconstructive options for managing this injury are tendon transfers and nerve transfers, each with their advantages and disadvantages. Nerve transfers are able to provide independent finger extension, however there is an associated prolonged recovery period in comparison to tendon transfers for radial nerve palsy. Electing the appropriate surgical management depends on the patient’s demands and needs. Nerve transfers for radial nerve palsy includes two transfers: (1) FCR to PIN and (2) FDS to ECRB. The tendon transfer for wrist extension can be elected for an early outcome and includes the transfer of the pronator teres to ECRB tendon. In this case, the patient presented three months following a severe MVC and suffered a radial nerve transection associated with a humeral facture. Due to the patient’s needs, the median to radial nerve transfers were elected with the pronator teres to ECRB tendon transfer. To restore radial nerve sensation, an end-to-side nerve transfer was additionally performed and included the radial sensory nerve end-to-side into the sensory component of the median nerve.
Table of Contents (Extended)
00:30 Orientation / Incision / Exposure
03:17 Identification and Distal Exposure of the Pronator Teres Tendon
07:05 Releasing and Elevating the Pronator Teres Tendon
10:10 Proximal Exposure of the Median Nerve
11:20 Dissection Lateral to the Pronator Teres
14:05 Identifying and Stimulation the Median Nerve and Donor Nerve Branches
16:50 Proximal Exposure of the Radial Nerve
19:14 Dividing the Leash of Henry and Leading-edges of ECRB and Supinator
24:47 Identifying the Radial Nerve and Recipient Nerve Branches
25:07 Proximal Division of the Recipient Radial Nerve Branches
26:15 Removing the Supinator Nerve from the Posterior Interosseous Nerve
26:26 Proximal Division of the Recipient Superficial Branch of Radial Nerve
27:20 Distal Division of the Donor Median Nerve Branches
32:42 Median to Radial Nerve Transfers with End-to-side Radial Sensory Nerve Transfer
33:11 Releasing the Brachioradialis Tendon and Superficial Branch of Radial Nerve
33:44 Pronator Teres to ECRB Tendon Transfer
Narration: Susan E. Mackinnon
Videography: Andrew Yee
Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse.
Categoría
Licencia
sábado, 25 de octubre de 2014
Discusión entre pares / Portero profesional 19 años. Dolor progresivo muñeca de 3 semanas de evolución. Arcos de movilidad completos..
Para los cirujanos de mano. Portero profesional 19 años. Dolor progresivo muñeca de 3 semanas de evolución. Arcos de movilidad completos. Rx sin lesión demostrable.
Fractura por stress de escafoides o necrosis avascular?
Saludos
Fractura por stress de escafoides o necrosis avascular?
Saludos
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