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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Brachial plexus endoscopic dissection and correlation with open dissection.

T Lafosse1, E Masmejean1, T Bihel1

  • 1Hand, Upper Limb and Peripheral Nerve Surgery Department, European Georges-Pompidou Hospital, 20, rue Leblanc, 75908 Paris cedex, France.

Chirurgie De La Main
|November 21, 2015
PubMed
Summary
This summary is machine-generated.

This study details endoscopic brachial plexus (BP) anatomy for shoulder surgery. Understanding this endoscopic BP anatomy is crucial for surgeons performing advanced shoulder arthroscopy to protect the BP.

Keywords:
Anatomical studyBrachial plexusEndoscopie périarticulairePeriarticular endoscopyPlexus brachialÉtude anatomique

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Area of Science:

  • Orthopedic Surgery
  • Anatomy
  • Surgical Innovation

Background:

  • Shoulder endoscopy is increasingly performed in extra-articular locations.
  • Procedures near the brachial plexus (BP) are becoming more common.

Purpose of the Study:

  • To describe the endoscopic anatomy of the brachial plexus (BP).
  • To outline the technique for endoscopic BP dissection and exposure.
  • To enhance safety in advanced arthroscopic shoulder procedures.

Main Methods:

  • Anatomical study involving endoscopic dissection of the BP in 13 fresh cadavers.
  • Utilized classical extra-articular shoulder arthroscopy portals for dissection.
  • Corroborated endoscopic findings with open dissection to identify neighboring structures.

Main Results:

  • Successfully exposed C5-C7 roots and superior/middle trunks in 11/13 specimens via transtrapezial portals.
  • Exposed the infraclavicular BP (excluding medial cord) in 11/13 specimens.
  • Identified key nerves (musculocutaneous, axillary) based on anatomical landmarks.

Conclusions:

  • Endoscopic visualization of the brachial plexus (BP) is feasible using shoulder arthroscopy portals.
  • Detailed knowledge of endoscopic BP anatomy is essential for protecting the plexus during advanced shoulder surgery.