Minimally invasive approach to the radial nerve – A new technique

Matzi, Veronika; Hörlesberger, Nina; Hohenberger, Gloria; Rosenlechner, D.; Dolcet, Claudia; Weiglein, Andreas; Maier, Marco Johannes; Grechenig, Stephan

doi:10.1016/j.injury.2015.09.017

Cited by 7 publications

(6 citation statements)

References 14 publications

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“…Although this was not the first choice for the majority of the participants, there is an obvious tendency for a less invasive approach for several traumatic injuries and this can also be considered for the humerus shaft. 10,11 In eight cases, a combination of morphology and level of the fracture and the presence of the radial nerve palsy were the most suggested reason to surgically treat the humerus fracture, with the morphology of the fracture being the major isolated factor. This is in accordance with the general literature, where acute indications for surgical exploration of the radial nerve include spiral or oblique fracture patterns in the middle to distal one-third of the humeral shaft with associated radial nerve palsy (like the Holstein-Lewis fracture pattern), open fractures with associated radial nerve palsies, and radial nerve palsy after a penetrating injury.…”

Section: Discussionmentioning

confidence: 99%

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Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Giordano

Belangero

Pires

et al. 2017

J Orthop Surg (Hong Kong)

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Our survey highlight the tendency for a more aggressive management of any humeral shaft fracture associated with a traumatic radial nerve palsy, with surgeons preferring to use ORIF with acute exploration of the radial nerve. Nonsurgical management was the less chosen option among the 279 respondents. Fracture morphology, level of the fracture, and the presence of the radial nerve palsy were most influential for guiding their treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Giordano

Belangero

Pires

et al. 2017

J Orthop Surg (Hong Kong)

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“…This is due to the preservation of real characteristics and the easy manipulation that such cadavers present (Bertone et al;Eisma & Wilkinson;Healey et al, 2015). This way, the use of Thiel-embalmed cadavers has extended to various areas of surgery, particularly urological surgery (Healey et al, 2015), thyroidectomies (Eisma et al, 2011), cricothyroidotomies (Benkhadra et al, 2008), liver surgery simulations (Eisma et al, 2013a), arthroplasty (Windisch et al, 2001;Kamei et al, 2013), artery sutures (Odobescu et al, 2014;, peripheral nerve repair (Matzi et al, 2015), flap surgeries (Hassan et al, 2014a;Wolff et al, 2014), neurosurgery (Schwalenberg et al, 2010), anastomosis techniques (Hassan et al, 2014b) and their comparison with animal models. Skills development in the area of angiology and laparoscopy are an additional advantage, several studies indicating the possibility of producing a pneumoperitoneum in the patient with the aim of accurately recreating abdominal laparoscopic surgery (Giger et al, 2008;Slieker et al, 2012) at kidney level (Prasad Rai et al, 2012;Ubee et al, 2014;Rai et al, 2015).…”

Section: Authorsmentioning

confidence: 99%

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

et al. 2016

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's embalming method. Review of solutions and applications in different fields of biomedical research. Int. J. Morphol., 34(4):1442Morphol., 34(4): -1454Morphol., 34(4): , 2016. SUMMARY:Walter Thiel developed the method that enables preservation of the body with natural colors in 1992. It consists in the application of an intravascular injection formula, and maintaining the corps submerged for a determinate period of time in the immersion solution in the pool. After immersion, it is possible to maintain the corps in a hermetically sealed container, thus avoiding dehydration outside the pool. The aim of this work was to review the Thiel method, searching all scientific articles describing this technique from its development point of view, and application in anatomy and morphology teaching, as well as in clinical and surgical practice. Most of these studies were carried out in Europe. We used PubMed, Ebsco and Embase databases with the terms "Thiel cadaver", "Thiel embalming", "Thiel embalming method" and we searched for papers that cited Thiel`s work. In comparison with methods commonly used with high concentrations of formaldehyde, this method lacks the emanation of noxious or irritating gases; gives the corps important passive joint mobility without stiffness; maintaining color, flexibility and tissue plasticity at a level equivalent to that of a living body. Furthermore, it allows vascular repletion at the capillary level. All this makes for great advantage over the formalinfixed and fresh material. Its multiple uses are applicable in anatomy teaching and research; teaching for undergraduates (prosection and dissection) and for training in surgical techniques for graduates and specialists (laparoscopies, arthroscopies, endoscopies).

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“…present study is morphologically similar to that of type 2 of Venieratos et al, 10 but with two important differences: (1) after the anastomosis with the MN, the MCN does not emit its terminal branch, the LCNF, (2) we suggest that the part of the cutaneous innervation of the forearm that is made by the LCNF is supplied by the posterior antebrachial cutaneous nerve (PACN), a branch of the radial nerve, providing sensory innervation to the skin of the posterior forearm. 14 Matzi et al 15 reported that, after the separation from the radial nerve, the PACN emerged from the lateral intermuscular septum (LIMS), and immediately pierced the deep fascia after emerging from the LIMS. 16 More distally, its main trunk and branches course in the subcutaneous layer to the posterior forearm, as far as the wrist.…”

Section: Cerda 2014 30mentioning

confidence: 99%

A Rare Case of Absence of the Lateral Cutaneous Nerve of Forearm: Case Report

et al. 2019

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Introduction Variations in the formation and in the branching pattern of the brachial plexus are common. Numerous anastomotic variations between the musculocutaneous nerve (MCN) and the median nerve (MN) have been reported and could be implicated in a wide range of sensory and motor dysfunctions. Objective To report an uncommon case of an anastomotic variation between the MN and the MCN with a rare absence of the lateral cutaneous nerve of forearm (LCNF). Material and Methods A dissection of a male cadaver was performed at the Morphology Department of the Universidade Federal do Ceará, Fortaleza, state of Ceará, Brazil. The brachial plexus was exposed. Results It was observed that the MCN, after its origin in the lateral fasciculus of the brachial plexus, anastomoses with the MN in the middle third of the arm. It diverges from the most prevalent anatomical pattern, in which the MCN continues to pass distally beneath the brachii biceps, originating the LCNF. In this case, the MCN does not emit its main terminal branch, the LCNF, which innervates the lateral portion of the skin of the forearm. In the present case, the innervation of the lateral portion of the skin of the forearm is provided by radial nerve branches. The reported case has practical implications, since the absence of the LCNF could cause hypoesthesia in the skin of the forearm. Conclusion Thus, the knowledge of the formation and of the branching pattern of the brachial plexus is clinically important for the correct clinical interpretation of the sensory and motor disorders of the upper limbs caused by peripheral nerve injuries, as well as for planning surgical procedures to correct upper limb traumas.

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Minimally invasive approach to the radial nerve – A new technique

Cited by 7 publications

References 14 publications

Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Humerus shaft fracture associated with traumatic radial nerve palsy: An international survey among orthopedic trauma surgeons from Latin America and Asia/Pacific

Walter Thiel's Embalming Method: Review of Solutions and Applications in Different Fields of Biomedical Research

A Rare Case of Absence of the Lateral Cutaneous Nerve of Forearm: Case Report

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