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相关概念视频

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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Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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Assessment of apical radial pulse01:25

Assessment of apical radial pulse

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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相关实验视频

Updated: Sep 18, 2025

Structured Motor Rehabilitation After Selective Nerve Transfers
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Structured Motor Rehabilitation After Selective Nerve Transfers

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修改后的部分辐射转移到手臂神经.

Ranjan Gupta1, Andrew Li2, Vivian Y Chen1

  • 1Peripheral Nerve Research Lab, Department of Orthopaedic Surgery, University of California Irvine, Irvine, California.

JBJS essential surgical techniques
|June 26, 2025
PubMed
概括

部分辐射到下神经的转移恢复了手臂损伤患者的肩膀功能. 这种神经转移技术提供了一个可行的解决方案,可以改善肩膀绑架和向前曲.

科学领域:

  • 整形外科 整形外科 整形外科
  • 神经外科 神经外科
  • 微手术 微手术是一种微手术.

背景情况:

  • 臂损伤往往导致严重的功能限制,需要替代治疗选择.
  • 神经转移绕过伤害区域并减少再生时间,使其优于其他手术方法.
  • 恢复肩膀功能至关重要,使神经转移成为孤立的下神经损伤的关键考虑因素.

研究的目的:

  • 描述部分辐射到股神经转移的技术,以恢复肩膀功能.
  • 要突出这种特定的神经传输程序的合理性和预期结果.

主要方法:

  • 这种手术涉及到靠近腰部的后部方法,患者处于侧向部位置.
  • 一个手术内神经刺激器识别特定的辐射神经分支转移到股神经.
  • 神经吸收是使用微手术技术进行的,使用中断和纤维素,确保在修复部位没有紧张.

主要成果:

  • 部分辐射到关神经的转移可以恢复肩膀向前曲和绑架在持续关神经麻的情况下.
  • 射线神经作为理想的捐赠者,由于三肌协同作用和经常冗余的分支.
  • 在受伤后6个月内接受这种手术的患者表现出医学研究委员会得分和运动范围的改善.

结论:

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  • 部分辐射到部神经的转移是肩膀缩和曲的功能恢复的有效手术选择.
  • 该技术为患有严重臂损伤和功能限制的患者提供了解决方案.
  • 早期手术干预 (<6个月) 与更好的患者结果有关.