They reported It is formed by ventral and dorsal rami of L1-L4 nerve roots with contribution from 12th thoracic nerve (i.e. subcostal nerve). After the anterior rami of the upper four lumbar nerves have supplied psoas and quadratus lumborum segmentally, they form the pleksus in the substance of psoas major.2,3 Juliana Farny et al. reported The lumbar plexus originated from the first four lumbar...

Following left brachial plexus avulsion, a 20-year-old man had phantom limb pain and remapping of sensation from his paralyzed hand onto his face. Mirror therapy (15 min daily, 5 days/week) led immediately to good movement of the phantom limb with decreased pain. Within 2 weeks following nerve graft surgery, remapping of hand sensation onto the face disappeared along with resolution of phantom ...

STUDY OBJECTIVE To determine if the use of ultrasound guidance (vs non-ultrasound techniques) improves the success rate of nerve blocks. DESIGN Meta-analysis of randomized controlled trials (RCTs) in the published literature. SETTING University medical center. MEASUREMENTS 16 RCTs of patients undergoing elective surgical procedures were studied. Patients underwent ultrasound-guided or non...

BACKGROUND/AIM Nerve transfers in cases of directly irreparable, or high level extensive brachial plexus traction injuries are performed using a variety of donor nerves with various success but an ideal method has not been established. The purpose of this study was to analyze the results of nerve transfers in patients with traction injuries to the brachial plexus using the thoracodorsal and med...

BACKGROUND Restoration of flexion in the elbow is the priority in the management of brachial plexus injuries. Current techniques of reconstructions, combining both nerve grafting and nerve transfer, allow more extensive repair, with additional targets: shoulder, elbow extension, hand. The transfer of intercostal nerves onto the nerve of the triceps long head is used to restore elbow extension. ...

BACKGROUND The interscalene brachial plexus block is widely used for pain control and anesthetic purposes during shoulder arthroscopic surgeries and surgeries of the upper extremities. However, it is known that interscalene brachial plexus block is not appropriate for upper limb surgeries because it does not affect the lower trunk (C8-T1, ulnar nerve) of the brachial plexus. METHODS A low app...

BACKGROUND Emergency physicians often treat patients who require procedural sedation for the management of upper extremity fractures, dislocations, and abscesses (upper extremity emergencies). Unfortunately, procedural sedation is associated with several rare but potentially serious adverse effects and requires continuous hemodynamic monitoring and several dedicated staff members. The purpose o...

The paper describes the results of clinical testing an apparatus for dosed traction brachial plexus trunks. It is shown that in presence a 5 cm diastasis, it possible to connect nerve fragments and perform neurorhaphy without tension by bringing shoulder head bring physiological position two half months after reconstructive surgery.

BACKGROUND There have been conflicting results regarding the effect of Crohn's disease on the neurochemical composition of the enteric nervous system. AIMS To examine the effect of Crohn's disease on the neurochemical composition of enteric nerve fibres and cell bodies using whole mount preparations of human ileum. METHODS Whole wall ileum from seven normal subjects and nine patients with C...

OBJECT Minimally invasive anterolateral approaches to the lumbar spine are options for the treatment of a number of adult degenerative spinal disorders. Nerve injuries during these surgeries, although rare, can be devastating complications. With an increasing number of spine surgeons utilizing minimal access retroperitoneal surgery to treat lumbar problems, the frequency of complications associ...