Publications by authors named "Neehar Patel"

 The majority of brachial plexus injuries (BPIs) are caused by trauma; most commonly due to two-wheeler road accidents. It is important to determine whether the lesion in question is pre-ganglionic or post-ganglionic for purposes of surgical planning and prognosis. Diagnostic testing helps the surgeon to not only decide whether surgical intervention is required, but also in planning the procedure, thereby maximizing the patient's chances of early return to function.

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Article Synopsis
  • Nerve transfers are being explored as a treatment to improve upper limb function in spinal cord injury patients, particularly for those with central cord syndrome.
  • The study involved dissecting the posterior interosseous nerve (PIN) in cadavers to assess the feasibility of transferring motor branches to restore finger extension in a 28-year-old central cord syndrome patient who previously showed no active finger movement.
  • Results indicated successful anatomical and clinical outcomes, with the patient gaining full metacarpophalangeal extension following selective nerve transfer, suggesting it is a viable option for restoring function in similar patients.
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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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Objective: The purpose of this study was to describe the anatomy of donor and recipient median nerve motor branches for nerve transfer surgery within the cubital fossa.

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

Results: In the cubital fossa, the first branch was always the proximal branch of the pronator teres (PPT), whereas the last one was the anterior interosseous nerve (AIN) and the distal motor branch of the flexor digitorum superficialis (DFDS) on a consistent basis.

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Objective: The authors describe the anatomy of the motor branches of the pronator teres (PT) as it relates to transferring the nerve of the extensor carpi radialis brevis (ECRB) to restore wrist extension in patients with radial nerve paralysis. They describe their anatomical cadaveric findings and report the results of their nerve transfer technique in several patients followed for at least 24 months postoperatively.

Methods: The authors dissected both upper limbs of 16 fresh cadavers.

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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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