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Suprascapular nerve entrapment

A summary of seven cases

Mark N. Hadley, Volker K. H. Sonntag and Hal W. Pittman

of this entity, including both medical and surgical approaches, is discussed. Anatomical Considerations The suprascapular nerve has a long course and originates from the upper brachial plexus where the C-5 and C-6 roots join at Erb's point. In up to 50% of cases, the suprascapular nerve will receive fibers from the C-4 root, but it will rarely arise solely from the distal end of the C-5 root. 13, 29 The nerve extends laterally and deep to the trapezius and omohyoid muscles as it courses with the suprascapular artery on its way to the suprascapular notch

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Vertebrobasilar insufficiency

Part 1: Microsurgical treatment of extracranial vertebrobasilar disease

Robert F. Spetzler, Mark N. Hadley, Neil A. Martin, Leo N. Hopkins, L. Philip Carter and James Budny

be located by palpating the tubercle of the transverse process of the C-6 vertebra and identifying the artery at its point of entry into the transverse foramen. Exposure of the anterior scalene muscle and the phrenic nerve indicates that the approach is too far lateral. The recurrent laryngeal nerve, the cervical sympathetic trunk, and the lower elements of the brachial plexus must be protected during the surgical exposure. After exposing the common carotid and vertebral arteries, the vertebral artery, as it enters the transverse foramen, is occluded with a

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Curtis A. Dickman, Mark N. Hadley, Conrad T. E. Pappas, Volker K. H. Sonntag and Fred H. Geisler

cervical spinal cord injuries resulting in cruciate paralysis were identified between 1984 and 1989. Eleven cases were managed at the Barrow Neurological Institute; three other cases were treated at other facilities and included in this study. Only patients with the definitive clinical features of cruciate paralysis were considered in this review. We excluded from the study patients with severe head injury, brachial plexus or peripheral nerve injuries, severe preexisting diseases involving the upper extremities (such as neoplasm or severe arthritis), extensive fractures

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was sufficient to bridge the distance between the second and sixth intercostal spaces along the mid axillary line. Mobilizing of the IN from midaxillary to mid-clavicular lines was sufficient in each specimen to achieve tensionlessanastomoses to the LTN at the second intercostal space. Conclusion: Nerve transfer of multiple IN to the LTN is possible and may provide surgeons the ability to restore shoulder function for scapular winging. In cases of total brachial plexus injury, where musculocutaneous restoration is a priority, the 5th and 6th IN can still be

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of those structures can be safe if appropriate technique is adopted. Full investigation of the anatomical position of the vessels might be required before surgery is performed. Neurosurg Focus Neurosurgical Focus FOC 1092-0684 American Association of Neurological Surgeons 2014.3.FOC-DSPNABSTRACTS Abstract Mayfield Clinical Science 233. Utility of Delayed Surgical Repair of Neonatal Brachial Plexus Palsy Zarina S Ali , MD , Dara Bakar , Yun Li , Alex Judd , Hiren C. Patel , MBBS, PhD

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.3171/2017.3.FOC-DSPNabstracts 2017.3.FOC-DSPNABSTRACTS Kline Peripheral Nerve Award Presentation 103. Prediction Algorithm for Surgical Intervention in Neonatal Brachial Plexus Palsy Thomas J. Wilson , MD , Kate Chang , and Lynda Jun-San Yang , MD, PhD 3 2017 42 3 Peripheral Nerve A2 A2 Copyright held by the American Association of Neurological Surgeons. You may not sell, republish, or systematically distribute any published materials without written permission from JNSPG. 2017 Introduction: Neonatal