Peripheral Nerve Surgery

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190617144
Total Pages : 320 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Peripheral Nerve Surgery by : Dr Thomas Wilson

Download or read book Peripheral Nerve Surgery written by Dr Thomas Wilson and published by Oxford University Press. This book was released on 2018-10-02 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Neurosurgery by Example series, this volume on peripheral nerve disorders presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases are divided into four distinct areas of peripheral nerve pathology: entrapment and inflammatory neuropathies, peripheral nerve pain syndromes, peripheral nerve tumors, and peripheral nerve trauma. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Peripheral Nerve Surgery is appropriate for neurosurgeons who wish to learn more about this subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

Manual of Peripheral Nerve Surgery

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Author :
Publisher : Thieme
ISBN 13 : 3132410012
Total Pages : 802 pages
Book Rating : 4.1/5 (324 download)

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Book Synopsis Manual of Peripheral Nerve Surgery by : Mariono Socolovsky

Download or read book Manual of Peripheral Nerve Surgery written by Mariono Socolovsky and published by Thieme. This book was released on 2017-11-15 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed and written by top international experts in the field, this lucid new work is a comprehensive yet concise manual for reviewing the basics of peripheral nerve anatomy, pathophysiology, all typical and classic lesions, and the appropriate diagnostics. The chapters culminate in a description of the complex step-by-step surgical repair of these lesions. Succinctly written, the manual covers a range of topics normally only seen in larger works: included are the various plexus systems and associated injuries, facial nerve surgery, compression neuropathies and tumors, gunshot wounds, pain management, and much more. Key Features: Developed and written by members of the World Federation of Neurosurgical Societies (WFNS) Peripheral Nerve Committee Full coverage of all typical nerve lesions from the basics of anatomy and pathophysiology to the most complex surgical solutions Conceived for neurosurgeons, plastic surgeons, orthopaedic surgeons, and hand surgeons, both in training and in professional practice More than 250 images-radiological images, color illustrations, and photographs of dissections-which help in visualizing and comprehending the text better The Manual of Peripheral Nerve Surgery: From the Basics to Complex Procedures is certain to become a much-used reference resource for residents and practicing surgeons alike.

Peripheral Nerve Issues after Orthopedic Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030844285
Total Pages : 431 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Peripheral Nerve Issues after Orthopedic Surgery by : Christopher J. Dy

Download or read book Peripheral Nerve Issues after Orthopedic Surgery written by Christopher J. Dy and published by Springer Nature. This book was released on 2021-11-15 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: Peripheral nerve issues are potential sequalae of orthopedic surgery, even after cases in which technically excellent surgery was performed. These injuries can impede the expected recovery of function after the primary surgery. Given the manifold challenges associated with recovery of peripheral nerve injuries, this book is designed as a multidisciplinary guide to the diagnosis, prognostication and treatment of peripheral nerve issues after common orthopedic surgeries. Beginning with an overview of nerve compression, injury and regeneration, as well as a presentation of the current diagnostic and imaging modalities for peripheral nerve injuries, this unique text is organized by anatomic region and by type of procedure performed. Topics covered include shoulder and elbow arthroplasty and arthroscopy, fractures of the hand and wrist, hip preservation surgery, total knee replacement, open surgery of the foot and ankle, lumbosacral myeloradiculopathy, and more. Each chapter is authored by both a subspecialty surgeon who routinely performs the surgeries described and a subspecialized hand/peripheral nerve surgeon with experience in evaluating and treating nerve issues after that particular injury. Emphasis is placed on multidisciplinary team approaches, patient counseling, and technical aspects of surgical treatment. Generously illustrated and written by experts in the field, Peripheral Nerve Issues after Orthopedic Surgery is a truly interdisciplinary resource for orthopedic, plastic, hand and trauma surgeons, physiatrists, trainees, and all professionals evaluating and managing postoperative peripheral nerve issues.

Surgery of Peripheral Nerves

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Author :
Publisher : Thieme
ISBN 13 : 1638533512
Total Pages : 308 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Surgery of Peripheral Nerves by : Rajiv Midha

Download or read book Surgery of Peripheral Nerves written by Rajiv Midha and published by Thieme. This book was released on 2011-01-01 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: A case-based guide to diagnosing and treating peripheral nerve disorders Surgery of Peripheral Nerves: A Case-Based Approach is a concise, single-volume reference for managing the entire spectrum of peripheral nerve pathologies, from brachial plexus injuries to lower extremity nerve entrapments. It features 57 cases that are grouped in sections by anatomic location of the problem to aid rapid reference to topics of interest, with one additional section that addresses the management of nerve tumors, painful nerve conditions, and other injuries and syndromes. Each chapter provides concise descriptions of case presentation, diagnosis, anatomy, characteristic clinicalpresentation, differential diagnosis, diagnostic tests, management options, and surgical treatment. Highlights: Case-based format thoroughly prepares the reader for managing various problems in the clinical setting Diagnostic guidelines and management strategies from leading experts in the field of peripheral nerve surgery enable clinicians to confidently handle each stage of patient care Pearls and Pitfalls at the end of each chapter highlight critical aspects of treatment and are ideal for at-a-glance review prior to surgery More than 150 illustrations demonstrate key concepts Suggested readings with brief summaries provide valuable reviews of the literature This problem-oriented textbook is ideal for clinicians, fellows, and residents in neurosurgery, orthopaedics, plastic surgery, and hand surgery. It also serves as an indispensable reference for specialists in physical medicine and rehabilitation, neurology, emergency medicine, pain management, and physical and occupational therapy.

Atlas of Peripheral Nerve Surgery

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455709883
Total Pages : 287 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Atlas of Peripheral Nerve Surgery by : Daniel H. Kim, MD, FACS

Download or read book Atlas of Peripheral Nerve Surgery written by Daniel H. Kim, MD, FACS and published by Elsevier Health Sciences. This book was released on 2012-11-29 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its second edition and featuring a brand-new layout, Atlas of Peripheral Nerve Surgery continues to be the surgical atlas dedicated to the field of peripheral nerves. This neurosurgery reference presents surgical steps laid out step by step in a highly readable and accessible format, making it an ideal resource for trainees and busy surgeons alike. Gain a well-rounded understanding of today's latest knowledge concerning the various types of nerve lesions and their management. Grasp exactly how to proceed through brand-new cadaver dissection photos, full-color illustrations with step-by-step operation notes, and self-explanatory bullet points. Apply the newest advances in nerve transfer surgery with a full section that discusses the transfer of the radial to axillary nerve, the median and ulnar nerve to the musculocutaneous nerve, the femoral branch to the obturator nerve, and more. Access the fully searchable text and downloadable image library online at www.expertconsult.com.

Surgical Disorders of the Peripheral Nerves

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1848821085
Total Pages : 645 pages
Book Rating : 4.8/5 (488 download)

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Book Synopsis Surgical Disorders of the Peripheral Nerves by : Rolfe Birch

Download or read book Surgical Disorders of the Peripheral Nerves written by Rolfe Birch and published by Springer Science & Business Media. This book was released on 2011-01-21 with total page 645 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the highly praised first edition of Surgical Disorders of the Peripheral Nerves was published in 1998, greater understanding of the the molecular and cellular events which underlie the response of nerves to injury, regeneration and neuropathic pain has been achieved. This second edition has been fully updated in line with new clinical knowledge, and also incorporates the extensive study of thousands of surgical case studies spanning repairs of the supraclavicular plexus in the adult, the birth lesion of the brachial plexus,compound nerve injury and iatrogenous injury. Beginning with the fundamentals of the anatomy and function of the peripheral nervous system, and working its way through various types of injury, operative methods, the regeneration and recovery of nerves, surgical reconstruction, pain, and rehabilitation, this eloquently written work provides the reader with the solid understanding required to successfully perform surgery on the peripheral nervous system. Dr Shelagh Smith, joined by Dr Ravi Knight, has rewritten the chapter Electrodiagnosis. Professor Tara Renton has written a new chapter on injuries to the trigeminal nerve in maxilla-facial and dental work. The drawings, by Mr Philip Wilson, are new. Most of the 700 illustrations are also new. This thorough and authoritative look at the surgical treatment of the peripheral nerves is fully illustrated throughout with exquisite line diagrams and clear, instructive photographs.

Nerve Surgery

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Author :
Publisher : Georg Thieme Verlag
ISBN 13 : 1638530130
Total Pages : 1464 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Nerve Surgery by : Susan E. Mackinnon

Download or read book Nerve Surgery written by Susan E. Mackinnon and published by Georg Thieme Verlag. This book was released on 2015-04-15 with total page 1464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Representing the treatment and management philosophy of Dr. Susan Mackinnon, Nerve Surgery provides extensive coverage of innovative surgical options as well as guidance on the management of complicated compression neuropathies. In addition to detailed information on tried-and-true as well as cutting-edge surgical techniques, it contains chapters on the basic principles of nerve surgery, such as "Anatomy and Physiology for the Peripheral Nerve Surgeon" and "Evaluation of the Patient with Nerve Injury or Nerve Compression." Key Features: More than 850 compelling full-color figures and photographs demonstrate key concepts Videos narrated by Dr. Mackinnon are available online Coverage of important conditions that can be treated non-operatively, such as neurogenic thoracic outlet syndrome and multilevel compression neuropathy Strategies and secondary procedures for failed nerve surgeries Dr. Mackinnon provides tips on how she manages complicated pain problems This book is a core reference for all plastic surgeons, neurosurgeons, orthopedic surgeons, hand surgeons, residents, and allied health specialists treating patients with nerve injuries.

Surgery of Peripheral Nerves

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Author :
Publisher : Thieme
ISBN 13 : 1604060034
Total Pages : 308 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Surgery of Peripheral Nerves by : Rajiv Midha

Download or read book Surgery of Peripheral Nerves written by Rajiv Midha and published by Thieme. This book was released on 2011-01-01 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: A case-based guide to diagnosing and treating peripheral nerve disorders Surgery of Peripheral Nerves: A Case-Based Approach is a concise, single-volume reference for managing the entire spectrum of peripheral nerve pathologies, from brachial plexus injuries to lower extremity nerve entrapments. It features 57 cases that are grouped in sections by anatomic location of the problem to aid rapid reference to topics of interest, with one additional section that addresses the management of nerve tumors, painful nerve conditions, and other injuries and syndromes. Each chapter provides concise descriptions of case presentation, diagnosis, anatomy, characteristic clinicalpresentation, differential diagnosis, diagnostic tests, management options, and surgical treatment. Highlights: Case-based format thoroughly prepares the reader for managing various problems in the clinical setting Diagnostic guidelines and management strategies from leading experts in the field of peripheral nerve surgery enable clinicians to confidently handle each stage of patient care Pearls and Pitfalls at the end of each chapter highlight critical aspects of treatment and are ideal for at-a-glance review prior to surgery More than 150 illustrations demonstrate key concepts Suggested readings with brief summaries provide valuable reviews of the literature This problem-oriented textbook is ideal for clinicians, fellows, and residents in neurosurgery, orthopaedics, plastic surgery, and hand surgery. It also serves as an indispensable reference for specialists in physical medicine and rehabilitation, neurology, emergency medicine, pain management, and physical and occupational therapy.

Operative Exposures in Peripheral Nerve Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1604065206
Total Pages : 162 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Operative Exposures in Peripheral Nerve Surgery by : Allen H. Maniker

Download or read book Operative Exposures in Peripheral Nerve Surgery written by Allen H. Maniker and published by Thieme. This book was released on 2011-01-01 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is the first book to lead you through operative exposures of all the major peripheral nerves in the body using actual dissections. Covering patient positioning, relevant anatomy, and surgical exposures of both the upper and lower extremities, it provides the step-by-step approach and visual orientation needed to effectively map out a surgical strategy. Special features:The first book to use full-color actual dissections as an operative guide to peripheral nerve surgeryIn-depth coverage of all related anatomyValuable information on nerves such as brachial plexus, axillary, ulnar, femoral, sciatic, tibial, plantar, and many othersPearls and pitfalls that offer valuable tips and insights from the author's extensive clinical experienceCombining the graphic strength of an atlas with the procedural guidelines of a text, this book is ideal for neurosurgeons, orthopedic surgeons, plastic and reconstructive surgeons, and general surgeons who need to refresh their memory on a specific exposure, as well as a useful primer on operative steps for beginners. It is also a valuable board review and course book for neurosurgery residents who are required to have a full understanding of the peripheral nervous system.

Peripheral Nerve Injuries: A Clinical Guide

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1447146131
Total Pages : 278 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Peripheral Nerve Injuries: A Clinical Guide by : Rolfe Birch

Download or read book Peripheral Nerve Injuries: A Clinical Guide written by Rolfe Birch and published by Springer Science & Business Media. This book was released on 2012-11-15 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​ Peripheral Nerve Injuries: A Clinical Guide is a fully illustrated and informative reference on injuries within the peripheral nervous system. It incorporates new knowledge in molecular and cellular events which underlie the response of nerves to injury, regeneration and neuropathic pain. Written by a leading expert in the field, Peripheral Nerve Injuries: A Clinical Guide, is a valuable resource for surgeons in residence and training.

Examination of Peripheral Nerve Injuries

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Author :
Publisher : Thieme
ISBN 13 : 1604065281
Total Pages : 196 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Examination of Peripheral Nerve Injuries by : Stephen Russell

Download or read book Examination of Peripheral Nerve Injuries written by Stephen Russell and published by Thieme. This book was released on 2011-01-01 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly Commended in Neurology by the British Medical Association, 2007 This book is an anatomically based guide to locating and diagnosing peripheral nerve entrapment and injuries, complete with all the fundamental science concepts and diagnostic techniques the clinician needs to address injuries in the upper and lower extremities of the body. Full-color photographs and easy-to-digest schematic illustrations aid the comprehension of complex anatomy and its variations, and help the reader learn the examination techniques described in the book.Highlights: Step-by-step descriptions supplemented by 150 full color illustrations and photographs guide the reader through the examination techniques Thorough review of the anatomy of each peripheral nerve helps the reader gain a firm understanding of normal structure essential for recognizing and diagnosing injury Emphasis on the most common anatomical variations in the peripheral nervous system prepares the reader for the full range of clinical scenarios Descriptions of the brachial and lumbosacral plexi in the context of their major branches allows the reader to fully grasp complicated structures Examination of Peripheral Nerve Injuries addresses the needs of residents, fellows, trainees, and students in a range of specialties including neurology, orthopedics, neurosurgery, rehabilitation medicine, plastic surgery, hand surgery, peripheral nerve surgery, physical therapy, pain management and primary care. Residents seeking an excellent board review in this area will appreciate the concise format and the wealth of information contained in this book.

Manual of Peripheral Nerve Surgery

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Author :
Publisher : Thieme
ISBN 13 : 3132582220
Total Pages : 608 pages
Book Rating : 4.1/5 (325 download)

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Book Synopsis Manual of Peripheral Nerve Surgery by : Mariano Socolovsky

Download or read book Manual of Peripheral Nerve Surgery written by Mariano Socolovsky and published by Thieme. This book was released on 2017-11-15 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed and written by top international experts in the field, this lucid new work is a comprehensive yet concise manual for reviewing the basics of peripheral nerve anatomy, pathophysiology, all typical and classic lesions, and the appropriate diagnostics. The chapters culminate in a description of the complex step-by-step surgical repair of these lesions. Succinctly written, the manual covers a range of topics normally only seen in larger works: included are the various plexus systems and associated injuries, facial nerve surgery, compression neuropathies and tumors, gunshot wounds, pain management, and much more. Key Features: Developed and written by members of the World Federation of Neurosurgical Societies (WFNS) Peripheral Nerve Committee Full coverage of all typical nerve lesions from the basics of anatomy and pathophysiology to the most complex surgical solutions Conceived for neurosurgeons, plastic surgeons, orthopaedic surgeons, and hand surgeons, both in training and in professional practice More than 250 images-radiological images, color illustrations, and photographs of dissections-which help in visualizing and comprehending the text better The Manual of Peripheral Nerve Surgery: From the Basics to Complex Procedures is certain to become a much-used reference resource for residents and practicing surgeons alike.

Musculoskeletal Diseases 2021-2024

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Author :
Publisher : Springer Nature
ISBN 13 : 3030712818
Total Pages : 293 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Musculoskeletal Diseases 2021-2024 by : Juerg Hodler

Download or read book Musculoskeletal Diseases 2021-2024 written by Juerg Hodler and published by Springer Nature. This book was released on 2021 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.

Modern Concepts of Peripheral Nerve Repair

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Author :
Publisher : Springer
ISBN 13 : 3319523198
Total Pages : 143 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Modern Concepts of Peripheral Nerve Repair by : Kirsten Haastert-Talini

Download or read book Modern Concepts of Peripheral Nerve Repair written by Kirsten Haastert-Talini and published by Springer. This book was released on 2017-06-19 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on posttraumatic repair and reconstruction of peripheral nerves. Written by internationally respected specialists, it provides an overview of the challenges and the latest advances in diagnosis and treatment of traumatic peripheral nerve injuries. It presents an outline of state-of the-art procedures from diagnostics, including newest imaging techniques, over conventional and alternative surgical approaches to clinical follow-up and rehabilitation, including the latest concepts to improve functional recovery. The purely clinical topics are preceded by neuroanatomical principles and neurobiological events related to peripheral nerve transection injuries and followed by an outlook on current experimental developments in the area of biomaterials for artificial nerve grafts and peripheral nerve tissue engineering. Peripheral nerve injuries not only affect the nerve tissue at the site of injury, but also target tissue and parts of the central nervous system. They often have dramatic consequences for patients, including loss of sensory and motor functions combined with paresthesia or pain, and a reduced quality of life and ability to work. An adequate understanding of the procedures for proper decision-making and reconstructing peripheral nerves is therefore essential to ensure optimized functional recovery.

Joint Denervation

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Author :
Publisher : Springer
ISBN 13 : 3030055388
Total Pages : 277 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Joint Denervation by : A. Lee Dellon

Download or read book Joint Denervation written by A. Lee Dellon and published by Springer. This book was released on 2019-03-01 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as an anatomic atlas of the nerves that innervate the joints of the human body in a format that also provides technical insight into pathways that both interventional pain management and surgical subspecialists can use to denervate those painful joints when traditional approaches to manage the pain are no longer successful. This book avails the knowledge of how denervation can relieve joint pain available to the many groups of physicians who care for this problem. Each chapter is devoted to a joint and reviews the neural anatomy as it relates to the clinical examination of the patient. Chapters are user friendly and provide details on the indicated nerve blocks and the clinical results of partial joint denervation. Clinical case studies also serve as a helpful guide in each chapter. Extensive intra-operative clinical photographs and photographs from new prosections provide examples to guide those physicians providing care to the patients with joint pain. Joint Denervation: Anatomic Atlas of Surgical Technique should be of interest to surgical subspecialists from Neurosurgery, Plastic Surgery, Hand Surgery, Orthopedic Surgery, Podiatric Foot & Ankle Surgery, and Oral & Maxillofacial Surgeons. It may also interest those physicians trained in Anesthesia, Radiology, and Physical & Rehabilitation Medicine for their evaluation and treatment protocols using hydrodissection, cryoablation and pulsed radiofrequency approaches to pain.

Atlas of Neuromuscular Diseases

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Author :
Publisher : Springer
ISBN 13 : 3709116058
Total Pages : 320 pages
Book Rating : 4.7/5 (91 download)

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Book Synopsis Atlas of Neuromuscular Diseases by : Eva L. Feldman

Download or read book Atlas of Neuromuscular Diseases written by Eva L. Feldman and published by Springer. This book was released on 2014-07-23 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This atlas presents a comprehensive outline of neuromuscular diseases, written by respected American and European authors. It discusses all aspects of neuromuscular disorders including cranial and spinal nerves, motor neuron diseases, nerve plexus, peripheral nerves, mono- and polyneuropathies, entrapment syndromes, neuromuscular junctions, and muscle disease. Each chapter is structured into the following sections: anatomy, symptoms, signs, pathogenesis, diagnosis and differential diagnosis, therapy and prognosis. The diagnostic tools in neuromuscular disease are explained and practical guidelines are offered on how to advance from symptoms to syndromes. The therapeutic options for each disease are also described. In this new edition, the structure of the chapters has been reorganized and chapters on principles of peripheral nerves, nerve pain, nerve surgery and rehabilitation have been added. The current trend of increased use of imaging techniques such as US and MRI in the diagnosis and follow-up of neuromuscular disorders is also reflected.

How to Improve the Results of Peripheral Nerve Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3211729585
Total Pages : 184 pages
Book Rating : 4.2/5 (117 download)

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Book Synopsis How to Improve the Results of Peripheral Nerve Surgery by : Hanno Millesi

Download or read book How to Improve the Results of Peripheral Nerve Surgery written by Hanno Millesi and published by Springer Science & Business Media. This book was released on 2007-12-31 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: All over the world research is going on to improve the outcome of the treatment of peripheral nerve lesions. Yet, there exist many questions, such as: Is the autologeous nerve grafting still the golden standard in bridging defects? Have alternative techniques to overcome defects reached a level to replace autografting? What can be expected from end to side coaptation? The contributions in this book give answers to all of these questions.