introduction the brachial plexus, a complex network of nerves, innervates to the upper limbs. variation in the course of the nerves in the upper limb is common. case presentation this paper describes two cases of upper limb variations in a cadaver dissected at lorestan university of medical sciences. in the first variation, the median nerve in the arm has a different route, so that the median m...

Compressive syndromes of the radial nerve have different presentations. There is no consensus on diagnostic and therapeutic methods. The aim of this review is to summarize such methods. Eletronic searches related terms, held in databases (1980-2016): Pubmed (via Medline), Lilacs (via Scielo) and Google Scholar. Through pre-defined protocol, we identified relevant studies. We excluded case repor...

Introduction Since improvment of the telemedicine allows magnification effect and optimal conditions of dissection even in the deepness of the pelvic retroperitoneum, laparoscopic surgery is becoming one of the most usefull and important instrument for learning the pelvic retroperitoneal anatomy. Laparoscopic exposure of all pelvic nerves 10 becam feasable routinely 1 and use of Laparoscopic Ne...

OBJECTIVE To evaluate the outcome of modified Quad procedure in preteen and teen patients with brachial plexus birth palsy. BACKGROUND We have previously demonstrated a significant improvement in shoulder abduction, resulting from the modified Quad procedure in children (mean age 2.5 years; range, 0.5-9 years) with obstetric brachial plexus injury. METHODS We describe in this report the out...

Superior hypogastric plexus block has been advocated for the treatment of cancer related pelvic pain. Neurolysis is usually established using the classical posterolateral approach in the prone position, in which correct placement of the needle is sometimes difficult due to vertebral anatomy and the patient's inability to lie prone. We describe an alternative posteromedian transdiscal approach u...

Research in spine surgery has proposed new soft and less invasive techniques. These are the results of our experience with oxygen-ozone therapy, which we could experiment within the Italian National Health System over 3 years. A total of 1,920 patients were admitted on the basis of unselected enrolment because of lumbosciatic pain. Patients were divided into three groups: (A) Patients with dege...

The aim of the present study was to investigate a new clinical classification of cubital tunnel syndrome that provides an improved basis for the clinical diagnosis and treatment of the disease. Retrospective analysis was performed on 341 patients with cubital tunnel syndrome. Based on the etiology, signs and symptoms, neurophysiological tests and computed tomography (CT) imaging, a new clinical...

BACKGROUND Sciatica is typically a clear-cut symptom complex commonly related to an impingement at the spinal nerve level. Etiologies of sciatic neuropathy outside the neural foramina are uncommon. OBJECTIVE To describe 4 patients presenting with radiating leg pain due to sciatic nerve involvement, all with a vascular etiology. METHODS Four patients presenting with neuropathic pain were ret...

The subclavian artery leaves the thoracic cage at the outer margin of the first rib, where it becomes the axillary artery. Rupture and hemorrhage of the subclavian artery may result in ischemia and necrosis of the upper limb, brachial plexus injury, and even hemorrhagic shock or mortality. A patient with an injury to the proximal segment of the axillary artery underwent emergency repair using a...