By Francesco Ruggieri M.D., Gian Franco Zinghi M.D., Stefano Boriani M.D., Luigi Specchia M.D. (auth.)
Our selection to devote numerous years to the writing of this Atlas used to be in response to the pro acknowledgement of detrimental surgical effects because of fallacious or incomplete techniques to the bones or joints requiring remedy. we're confident that during order to procure the absolute best anatomic and practical leads to surgical procedure of the locomotor gear, it will be important to obey a number of ideas of behaviour con stituting the root for proper surgical execution: a) to admire the anatomy of the muscular and neural formations; b) to protect the vascularization of those anatomical components and as a result of the osteoarticular equipment; c) to exploit the main acceptable surgical techniques absolutely respecting the neighborhood anatomy and the least tense publicity of the skeleton; d) to properly practice surgical procedure, hence growing the simplest stipulations for the excel lent restoration of the functionality of the limb. The anatomic findings and surgical techniques to the extremities defined listed here are now not whole: we now have dependent our number of the previous on their frequency within the common surgical job of any specialized ward, and the latter at the surgi cal methods most ordinarily utilized by the third department of the Rizzoli Orthopaedic Institute. broad surgical techniques for the surgical procedure of bone tumors were excluded as they take care of particular «compartmental» tools which don't contain the anatomic ideas to be within the common remedy of orthopaedic and trau matologic affections of the extremities.
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Additional resources for Anatomical Exposures and Surgical Approaches to the Limbs Anatomische Darstellungen und Zugangswege in der Chirurgie der Extremitäten
After opening up the fascia, the medial margin of the biceps 1 is located anterior to the intermuscular septum. This muscle is retracted externally to reveal the median nerve 2 together with the humeral artery 3. - In the proximal half of the arm, the median nerve runs outside the artery, passes anterior to it in the area corresponding to its intermediate tract, to then run internal to it in its distal tract. - In the area corresponding to the middle third of its course, the median nerve is obliquely crossed by a communicating venous branch 4 which it is best to fasten during dissection.
N. ULNARIS AM OBERARM Anatomischer Bereich: zwischen Septum intermusculare mediale und M. triceps brachii. Patient in Rfickenlage, Arm 90 Grad abduziert und supiniert, Ellenbogen 70-80 Grad gebeugt. Der Hautschnitt zieht auf der dorso-medialen Fliiche fiber die Verbindungslinie zwischen hinterer Achse/falte und Epicondylus medialis humeri]. - Die Freilegung des N. ulnaris 2 ist im distalen Oberarmdrittel ziemlich einfach. Der Nerv erscheint in Fettgewebe eingehfillt zwischen dem M. triceps 3 und dem Septum intermusculare 4 • - Zur besseren Ubersicht wird der M.
Deltoideus und zieht aUf der Projektionslinie des Nervs nach distal. - Nach Langsinzision der Faszie wird proximal der M. deltoideus} sichtbar. Die nach oben spitz zulaufende Sehnenplatte 2 des M. triceps brachii liegt im distalen Abschnitt; sie zeigt das Interstitium zwischen Caput longum 3 und Caput laterale 4 des M. triceps auf. 52 THE RADIAL NERVE AT THE POSTERIOR CAVITY OF THE ARM N. / 53 THE RADIAL NERVE AT THE POSTERIOR CAVITY OF THE ARM (continued) - After opening up the interval between the two heads of the triceps, the radial nerve 5 * together with two inferior branches destined to the triceps, and the deep humeral artery 6 together with two thin satellite veins, are revealed below.
Anatomical Exposures and Surgical Approaches to the Limbs Anatomische Darstellungen und Zugangswege in der Chirurgie der Extremitäten by Francesco Ruggieri M.D., Gian Franco Zinghi M.D., Stefano Boriani M.D., Luigi Specchia M.D. (auth.)