Preoperative imaging assessment of the paralytic upper limb.

Hand Surg Rehabil

Research Unit, Clinique Blomet, 136 bis Rue Blomet, 75015 Paris, France; University of Paris, Medical School, 12, Rue de l'Ecole de Médecine, 75006 Paris, France; Hand, Upper Limb & Peripheral Nerve Surgery Service, Georges-Pompidou European Hospital (HEGP), 20, Rue Leblanc, 75015 Paris, France.

Published: February 2022

Imaging has become an essential tool in the study of the posttraumatic paralytic upper limb, in addition to the clinical examination and electroneuromyography. Upper extremity surgeons must be aware of how these different techniques contribute to the initial and preoperative assessment of nervous injuries. We review the appearance of traumatic nerve damage and muscle denervation during the initial injury assessment, focusing on the main aspects of brachial plexus injuries, paralysis after shoulder dislocation and traumatic damage to the radial nerve. Finally, we discuss the role of imaging for preoperative assessment of musculotendinous and osteoarticular palliative surgeries.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hansur.2020.10.023DOI Listing

Publication Analysis

Top Keywords

paralytic upper
8
upper limb
8
preoperative assessment
8
preoperative imaging
4
assessment
4
imaging assessment
4
assessment paralytic
4
limb imaging
4
imaging essential
4
essential tool
4

Similar Publications

Purpose: Lagophthalmos from facial nerve palsy is traditionally measured with patients in an upright position and may fail to identify positional variability. This study aims to assess the effects of body position, surgical technique, implant material, and patient demographics on lagophthalmos.

Methods: A multicenter prospective study was performed to evaluate positional changes in paralytic lagophthalmos and the effects of various patient and surgical factors.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on diagnosing Acute Flaccid Paralysis (AFP) in children referred to a pediatric emergency unit between 2011 and 2016.
  • The most common diagnoses were Guillain-Barré Syndrome (80 cases), acute viral myositis (20 cases), Transverse Myelitis Syndrome (6 cases), and Vaccine-Associated Paralytic Poliomyelitis (6 cases), with all patients testing negative for poliovirus.
  • A unique case of a 2.5-month-old patient presented with symptoms compatible with viral meningitis, highlighting the importance of considering a range of diagnoses when evaluating AFP in children.
View Article and Find Full Text PDF

Objective:  This study aims to estimate the frequency of unintended upper uterine wall extensions during cesarean delivery (CD) and identify associated risk factors and adverse outcomes.

Study Design:  A multicenter retrospective cohort study was conducted, including patients who underwent CD between 2005 and 2021. Demographic factors, obstetric history, CD indications, delivery and surgical characteristics, adverse maternal and neonatal outcomes were compared between those with unintended upper uterine wall extensions during CD and those without extensions.

View Article and Find Full Text PDF

Frontalis muscle flap eyelid reanimation technique in adults with severe ptosis or apraxia of eyelid opening.

Orbit

July 2024

Ophthalmology, Kahana Oculoplastic and Orbital Surgery, Livonia, Michigan, USA.

Purpose: Assessment of the frontalis muscle flap eyelid reanimation surgical technique for adults with severe ptosis and apraxia of eyelid opening.

Methods: A retrospective case series of 30 eyes with severe ptosis or apraxia of eyelid opening. Outcomes were assessed for margin to reflex distance 1 (MRD1), lagophthalmos, complications, and need for subsequent surgical intervention.

View Article and Find Full Text PDF

A novel spider venom peptide from the predatory mite Neoseiulus barkeri shows lethal effect on phytophagous pests.

Pestic Biochem Physiol

June 2024

Key Laboratory of Entomology and Pest Control Engineering, College of Plant Protection, Southwest University, Chongqing, China; Key Laboratory of Agricultural Biosafety and Green Production of Upper Yangtze River (Ministry of Education), Southwest University, Chongqing, China. Electronic address:

The long-term use of pesticides in the field, and the high fertility and adaptability of phytophagous mites have led to resistance problems; consequently, novel safe and efficient active substances are necessary to broaden the tools of pest mite control. Natural enemies of arthropods typically secrete substances with paralytic or lethal effects on their prey, and those substances are a resource for future biopesticides. In this study, two putative venom peptide genes were identified in a parasitic mite Neoseiulus barkeri transcriptome.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!