Publications by authors named "Mayur S Goklani"

Purpose: Dissection of the radial nerve in the axilla and upper portion of and posterior aspect of arm may be necessary for brachial plexus reconstruction, in axillary nerve paralysis, and in radial nerve injuries. The radial nerve is in intimate contact with the profunda brachial artery (PBA). The authors sought to describe the relationship of the PBA with the radial nerve.

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Article Synopsis
  • The study explores a new surgical method to access the anterior division of the axillary nerve (ADAN) in patients with isolated axillary nerve injuries, focusing on a deltoid-splitting approach for dissection.
  • Involving nine patients, the clinical investigation included nerve grafting and muscle transfer techniques to repair the nerve damage, successfully demonstrating the anatomy and trajectory of the ADAN.
  • Results showed effective reinnervation with varying muscle strength post-surgery, indicating that this new approach is a practical option for treating such nerve injuries.
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Objective: The authors sought to describe the anatomy of the radial nerve and its branches when exposed through an axillary anterior arm approach.

Methods: Bilateral upper limbs of 10 fresh cadavers were dissected after dyed latex was injected into the axillary artery.

Results: Via the anterior arm approach, all triceps muscle heads could be dissected and individualized.

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This article is based on literature review of relevant articles as well as the authors' own experiences in treating peripheral nerve injuries of the lower limb. The article deals with causative factors of lower limb nerve injuries, various grading systems of the injuries, approaches to such injuries, and techniques to repair lower limb nerve injuries. It also enumerates several reasons to explain the poorer prognosis of peroneal nerve injuries and the possible distal nerve transfers in lower limb albeit with poorer outcomes.

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