Obstetric Brachial Plexus Injuries

This book is a personal account of the treatment options for brachial plexus injuries sustained by babies at birth. The author's experience with several thousand such patients has led to the diagnostic and therapeutic methods detailed in the book. These evidence-based practices are taken from the author's practice and from the scientific literature. Several new findings not previously described are presented, and techniques to treat these problems are shown. Illustrations and pictures are designed to improve understanding of the concepts underlying treatment options as well as the underlying pathologies. The book is divided into sections covering the initial nerve injury, and the physiological and anatomical responses of the muscles and bone to the nerve injury. A separate section is devoted to clinical methods of diagnosing common as well as unusual problems that occur. Opposite each illustrated section on diagnosis is a treatment panel that describes the author's personal approach to the management of various functional deficits. Dr. Nath's book is written for a wide audience and is an introduction to a fascinating and often misunderstood field of medicine. The level of writing is suitable for health care professionals or families interested in knowing more about the injury as well as their treatment options.

Fully illustrated and enhanced with accompanying video clips, this comprehensive text presents the clinical evaluation and management of brachial plexus injuries and reconstruction, both for adult patients and birth injuries. Divided into two main sections, part one covers adult brachial plexus injuries, discussing the relevant anatomy and biology, epidemiology, and associated injuries. The main focus, however, is on diagnosis – the clinical exam as well as neurodiagnostic and radiographic evaluation – and surgical management approaches and techniques, including nerve grafting and transfers, tendon and muscle transfers, and joint fusion. Related topics are presented in chapters on sensory reinnervation, neuropathic pain management, the role of amputation and prosthetics, and pre- and post-surgical therapy protocols. Brachial plexus birth injury is described in part two, also focusing mainly on diagnosis and management but with an emphasis on the fact that babies are not small adults and special considerations are warranted. This section concludes with chapters on the management of late complications and long-term sequelae. A comprehensive surgical text on brachial plexus injuries has not been previously attempted. Filling a large gap in the literature, Operative Brachial Plexus Surgery is the go-to resource for adult and birth related brachial plexus reconstruction for orthopedic surgeons, neurosurgeons, plastics surgeons, and their trainees.

Practical Management of Pediatric and Adult Brachial Plexus Palsies covers in-depth surgical techniques for managing disorders of this crucial nerve complex so that you can most effectively treat injuries in patients of any age. Drs. Kevin Chung, Lynda Yan, and John McGillicuddy present a multidisciplinary approach to pediatric brachial plexus injury treatment and rehabilitation, obstetric considerations, and other hot topics in the field. With access to the full text and surgical videos online at expertconsult.com, you’ll have the dynamic, visual guidance you need to manage injuries to the brachial plexus. Access the fully searchable text online at www.expertconsult.com, along with surgical videos demonstrating how to perform key procedures. See cases as they present in practice through color illustrations, photos, and diagrams that highlight key anatomical structures and relationships. Apply multidisciplinary best practices with advice from internationally respected authorities in neurosurgery, orthopaedics, plastic surgery, and other relevant fields. Hone your technique with coverage that emphasizes optimizing outcomes with pearls and discussions of common pitfalls. Prepare for collaborating with other physicians thanks to a multidisciplinary approach that covers medical and legal aspects in addition to surgery. Find information quickly and easily with a full-color layout.

As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.

Sub-specialization within pediatric orthopedics is growing, in part due to the development of free-standing children's hospitals and the desire by patients and their parents to have "experts" care for them. We are at the forefront of a trend in physicians classifying themselves as pediatric upper extremity surgeons. Numerous pediatric hospitals now have or are recruiting physicians to focus their practice in this area. Historically, these issues were treated by general orthopedic surgeons, adult hand surgeons, pediatric orthopedic surgeons, or plastic surgeons. However, none of these professionals treat the entirety of pediatric upper extremity pathology, and no single reference has focused on the treatment of the pediatric upper extremity as a whole. For example, fractures have typically been written about in pediatric textbooks, while tendon and nerve injuries are covered in adult hand textbooks. This textbook is a comprehensive, illustrated reference that discusses all aspects of the pediatric upper extremity, from embryology and functional development to nerve injuries, trauma, tumors, burns, sports injuries and more.

In this book, specialists from different countries and continents share their knowledge and experience in brachial plexus surgery. It discusses the different types of brachial plexus injury and advances in surgical treatments.

Designed for hand, orthopaedic and general surgeons, and for physical therapists, this book is concerned with the brachial plexus.