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Nerve Related Injuries and Treatments for the Lower Extremity, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Nerve Related Injuries and Treatments for the Lower Extremity, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Stephen L. Barrett

(2016)

Additional Information

Book Details

Abstract

Nerve-related injuries of the lower extremity are frequently encountered in orthopaedic practice. Proper and timely diagnosis and treatment are the keys to optimizing outcomes. This issue will include articles on: Introduction to Peripheral Nerve Diagnostics, Epidermal Nerve Fiber Density Biopsy, Lower Extremity Focused Neurological Examination, Metabolic Nerve Entrapment, Lower Extremity Compartment Syndromes, Treatment of Recurrent Morton’s Neuroma, Proximal Tibial Nerve Entrapment and Treatment, and many more exciting articles!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Nerve-Related Injuriesand Treatments for the Lower Extremity\r i
Copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Consulting Editor iii
Editorial Board Members - USA iii
Editorial Board Members - International iii
Contributors v
CONSULTING EDITOR v
EDITOR v
AUTHORS v
Contents vii
Foreword: Nerve-Related Injuries and Treatments for the Lower Extremity\r vii
Preface: Peripheral Nerve Surgery—A New Subspecialty\r vii
Small Fiber Neuropathy: Differential Diagnosis and Treatment Implications\r vii
Lower Extremity Focused Neurologic Examination\r vii
Multiple Crush Concept Applied to Multiple Nerves in Leprous Neuropathy\r vii
Chronic Exertional Compartment Syndrome\r viii
Management of Painful Recurrent Intermetatarsal Neuroma Using Processed Porcine Extracellular Matrix Material: A Case Report\r viii
Current Diagnosis and Treatment of Superficial Fibular Nerve Injuries and Entrapment\r viii
Intraoperative Nerve Monitoring During Nerve Decompression Surgery in the Lower Extremity\r viii
Rationale, Science, and Economics of Surgical Nerve Decompression for Diabetic Neuropathy Foot Complications\r ix
Common Fibular Nerve Compression: Anatomy, Symptoms, Clinical Evaluation, and Surgical Decompression\r ix
Case Study: Osseous Pathology with Peripheral Nerve Entrapment and Neuromata\r ix
CLINICS IN PODIATRIC\rMEDICINE AND SURGERY\r x
FORTHCOMING ISSUES x
July 2016 x
October 2016 x
RECENT ISSUES x
January 2016 x
October 2015 x
July 2015 x
April 2015 x
Foreword:Nerve-Related \rInjuries and Treatments for the Lower Extremity xi
Preface:Peripheral Nerve \rSurgery—A New Subspecialty xiii
Small Fiber Neuropathy 185
Key points 185
INTRODUCTION 185
DIFFERENTIAL DIAGNOSIS 186
TECHNIQUE FOR A SKIN BIOPSY TO EVALUATE SMALL FIBER DENSITY 186
TREATMENT CONSIDERATIONS 188
SUMMARY 188
REFERENCES 188
Lower Extremity Focused Neurologic Examination 191
Key points 191
CLINICAL EXAMINATION 193
MOTOR EXAMINATION 193
DEEP TENDON REFLEXES 194
SENSORY EXAMINATION 197
Sharp and Dull Discrimination 197
Two-. Two- 2-Point Discrimination 197
Vibratory Perception 197
Manual Nerve Percussion Test 200
Position Sense (Proprioception) 201
Additional Testing 201
Summary 201
REFERENCES 202
Multiple Crush Concept Applied to Multiple Nerves in Leprous Neuropathy 203
Key points 203
INTRODUCTION 203
DRUG THERAPY DOES NOT PREVENT NEUROLOGIC IMPAIRMENT 206
HISTORY OF PERIPHERAL NERVE SURGERY IN LEPROSY 207
A NEW CONCEPTUAL APPROACH TO NEUROLYSIS IN LEPROSY 208
RESULTS IN THE EARLY SERIES OF PATIENTS 212
REFERENCES 215
Chronic Exertional Compartment Syndrome 219
Key points 219
DIFFERENTIAL DIAGNOSES 220
CHRONIC EXERTIONAL COMPARTMENT SYNDROME ETIOLOGY 221
ANATOMY AND CLINICAL EXAMINATION 222
TESTING FOR EXERTIONAL COMPARTMENT SYNDROME 222
PERFORMING THE CORRECTIVE FASCIOTOMY FOR CHRONIC EXERTIONAL COMPARTMENT SYNDROME 226
POSTOPERATIVE CARE 231
POSTOPERATIVE COMPLICATIONS 231
REFERENCES 232
FURTHER READINGS 232
Management of Painful Recurrent Intermetatarsal Neuroma Using Processed Porcine Extracellular Matrix Material 235
Key points 235
INTRODUCTION 235
CASE REPORT 236
DISCUSSION 238
ACKNOWLEDGMENTS 241
REFERENCES 241
Current Diagnosis and Treatment of Superficial Fibular Nerve Injuries and Entrapment 243
Key points 244
ANATOMY OF THE SUPERFICIAL FIBULAR NERVE 245
DIAGNOSIS OF SUPERFICIAL FIBULAR NERVE ENTRAPMENT 246
SURGICAL DECOMPRESSION OF THE SUPERFICIAL FIBULAR NERVE 249
SUPPLEMENTARY DATA 253
REFERENCES 253
Intraoperative Nerve Monitoring During Nerve Decompression Surgery in the Lower Extremity 255
Key points 255
INTRODUCTION 255
PROCEDURE 258
DISCUSSION 264
SUMMARY 264
ACKNOWLEDGMENTS 264
SUPPLEMENTARY DATA 264
REFERENCES 265
Rationale, Science, and Economics of Surgical Nerve Decompression for Diabetic Neuropathy Foot Complications 267
Key points 267
INTRODUCTION 267
PATHOGENESIS 268
DIABETIC SYMMETRIC PERIPHERAL NEUROPATHY COMPLICATIONS 268
TREATMENTS AND OUTCOMES 268
DIABETIC FOOT ULCERATION RECURRENCE 270
DIABETIC SYMMETRIC PERIPHERAL NEUROPATHY AND DIABETIC FOOT ULCERATION ECONOMICS 270
RELEVANCE AND POTENTIAL OF NERVE DECOMPRESSION 270
DEVELOPMENT OF THE NERVE DECOMPRESSION HYPOTHESIS 271
BASIC SCIENCE SUGGESTS MECHANISM 271
CLINICAL CORRELATES TO BASIC SCIENCE 272
OPERATIVE NERVE DECOMPRESSION SCIENTIFIC LITERATURE 272
NERVE DECOMPRESSION SKEPTICISM 273
EVIDENCE REBUTS THE SKEPTICS 275
AN UNFORTUNATELY MISLEADING PROTOCOL 275
MUSINGS ON PERSISTENT SKEPTICISM 276
ECONOMIC VALUE OF NERVE DECOMPRESSION 277
SUMMARY 277
REFERENCES 279
Common Fibular Nerve Compression 283
Key points 283
BACKGROUND 283
INTRODUCTION 284
DESCRIPTION 284
SYMPTOMS 285
CAUSE OF NEURAL ENTRAPMENT 286
CLINICAL EXAMINATION 286
NERVE DECOMPRESSION SURGERY 287
SUMMARY 290
CASE STUDY 290
ACKNOWLEDGMENTS 290
REFERENCES 290
Case Study 293
Key points 293
INTRODUCTION 293
HISTORY OF PRESENT ILLNESS 294
PHYSICAL EXAMINATION 294
ASSESSMENT 294
PLAN 294
SURGERY 295
POSTOPERATIVE 296
Index 299