坎贝尔骨科手术学

章节摘录

版权页：   插图：   METHODS OF CLOSING GAPS Gaps of 8 cm can be closed by mobilizing the lateral cord ofthe brachial plexus proximally into the neck and the muscu-locutaneous nerve distally to its muscular branches, byadducting the shoulder sharply, and by bringing the armanteriorly across the chest as for relaxing the brachial plexus.Occasionally, the musculocutaneous nerve can be transposedso that it no longer pierces the coracobrachialis but runsacross the axilla medial to this muscle between the biceps andbrachialis muscles. As in repair of the brachial plexus, allsutures may be inserted in the nerve ends and the wound isclosed except at the site of neurorrhaphy before the suturesare tied. Interfascicular grafting also can be done if the gap istoo wide to close by mobilization and limb positioning.RESULTS AFTER INJURY TO THE MUSCULOCUTANEOUS NERVESigns of recovery of the musculocutaneous nerve may appearat 4 to 9 months after injury. Excellent results have beenreported after repair by secondary suture or grafting. RADIAL NERVE The radial nerve, a continuation of the posterior cord of thebrachial plexus, consists of fibers from C6, C7, and C8 andsometimes T1. It is primarily a motor nerve that innervatesthe triceps; the supinators of the forearm; and the extensorsof the wrist, fingers, and thumb. This nerve is injured mostoften by fractures of the humeral shaft. Gunshot wounds arethe second most common cause of radial nerve injury. Othercauses include lacerations of the arm and proximal forearm,injection injuries, and prolonged local pressure. Entrapment syndromes of the radial nerve may developwhen the nerve or one of its branches is compressed at somepoint along its course. Compression of the radial nerve in thearm may be caused by the fibrous arch of the lateral headof the triceps muscle. The posterior interosseous nerve maybe compressed by the fibrous arcade of Frohse, fracture-dislocations or dislocations of the elbow, fractures of theforearm, Volkmann ischemic contracture, neoplasms,enlarged bursae, aneurysms, or rheumatoid synovitis of theelbow. According to Spinner, posterior interosseous nerveentrapment is of two types. In one type, all the muscles sup-plied by the nerve are completely paralyzed; these include theextensor digitorum communis, extensor indicis proprius,extensor digiti quinti, extensor carpi ulnaris, abductor pollicislongus, and extensor pollicis brevis.

名人推荐

周围神经损伤与显微外科分册内容在第12版延续了第11版的编写方式，并按最新的进展对内容进行了更新和修订。

媒体关注与评论

一、出版时间紧随原著：《坎贝尔骨科手术学》第12版的英文原版于2012年12月新近出版，影印版几乎在第一时间同步推出，使中国读者得以率先领略原著风采。二、专业英语原汁原味：《坎贝尔骨科手术学》第12版对于刚开始从事骨科工作的低年资住院医生、年资较高的骨科专家及广大医学院校师生均为一部值得深入研读的高级参考书，影印版更可作为学习专业英语的最佳读物。三、平装版本性价比高：平装版按照骨科学分支将原著分为14个分册出版，内文印刷采用全铜版纸，保持与精装版相同的质量，性价比更高，更方便读者根据需要进行选择。四、最新进展完美呈现：第12版全面进行知识更新，介绍骨科近5年的新技术、新装备，如全髋及全膝关节置换微创入路、骨折固定术的小截面植入物、脊柱手术新设备，深入探讨新型骨移植材料，以及关节镜和内镜技术等。

内容概要

S·泰瑞·卡奈尔（S. Terry Canale），医学博士，教授。美国著名骨科学专家，坎贝尔骨科医院，田纳西大学骨外科学系主席。詹姆斯·H·贝蒂（James H. Beaty），医学博士，教授。美国著名骨科学专家，坎贝尔骨科医院，田纳西大学骨外科学系主任。

书籍目录

PERIPHERAL NERVE INJURIES Peripheral Nerve InJuries MICROSURGERY Microsurgerv List of Techniques Peripheral Nerve Injuries 62-1 Epineurial Neurorrhaphy, 3082 62-2 Perineurial (Fascicular) Neurorrhaphy, 3083 62-3 Interfascicular Nerve Grafting (Millesi, Modified), 3083 62-4 Approach to the Brachial Plexus, 3090 62-5 Transfer of the Ulnar Nerve Fascicles to Nerve of the Biceps Muscle(Oberlin et al.), 3093 62-6 Double Fascicular Transfer from Ulnar and Median Nerves to Nerve of the grachialis Branches (MacKinnon and Colbert), 3094 62-7 Neurotization of the Suprascapular Nerve with the Spinal Accessory Nerve (MacKinnon and Colbert), 3095 62-8 Neurotization of the Axillary Nerve with Radial Nerve (MacKinnon and Colbert), 3096 62-9 Posterior Approach for Division of the Transverse Scapular Ligament (Swafford and Lichtman), 3097 62-10 Approach to the Axillary Nerve, 3099 62-11 Approach to the Musculocutaneous Nerve, 3099 62-12 Approach to the Radial Nerve, 3100 62-13 Approach to the Ulnar Nerve, 3104 62-14 Nerve Transfer for Ulnar Nerve Reconstruction (MacKinnon and Novak), 3105 62-15 in Situ Decompression of the Ulnar Nerve, 3106 62-16 Endoscopic Cubital Tunnel Release (Cobb), 3107 62-17 Medial Epicondylectomy, 3109 62-18 Transposition of the Ulnar Nerve, 3109 62-19 Approach to the Median Nerve, 3112 62-20 Approach to the Femoral Nerve, 3115 62-21 Approach to the Sciatic Nerve, 3117 62-22 Approach to the Common, Superficial, and Deep Peroneal Nerves, 3119 62-23 Approach to the Tibial Nerve Deep to the Soleus Muscle, 3121 Microsurgery 63-1 Microvascular Anastomosis (End-To-End), 3127 63-2 Microvascular End-To-Side Anastomosis, 3128 63-3 Microvascular Vein Grafting, 3129 63-4 Epineurial Neurorrhaphy, 3130 ……

编辑推荐

《坎贝尔骨科手术学:周围神经损伤与显微外科分册(影印版•第12版)(国外引进•铜版印刷)》编辑推荐：《坎贝尔骨科手术学》第12版的英文原版于2012年12月新近出版，影印版几乎在第一时间同步推出，使中国读者得以率先领略原著风采。《坎贝尔骨科手术学》平装影印版采取全铜版纸印刷，保持原版书品质，按照骨科的分支分为14个分册，性价比更高，方便读者根据自己的专业进行选择，更可作为学习专业英语的最佳读物。《坎贝尔骨科手术学》第12版在约4600页的篇幅内介绍了1630种手术操作，涵盖7000余幅图片，包括大量重新绘制的示意图、影像诊断图片、临床手术实景照片等。第12版调整大量编排结构，全面进行知识更新，介绍骨科近5年的新技术、新装备。多年以来，《坎贝尔骨科手术学》在骨科图书中一枝独秀，伴随了一代又一代骨科医师的成长。《坎贝尔骨科手术学》首版于1939年。此后每5至7年，《坎贝尔骨科手术学》由坎贝尔骨科诊所专家进行一次全面更新修订。全球骨科医师提及《坎贝尔骨科手术学》时，均将其比喻为骨科学领域的圣经。

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