By Francesco Ruggieri M.D., Gian Franco Zinghi M.D., Stefano Boriani M.D., Luigi Specchia M.D. (auth.)
Our selection to commit a number of years to the writing of this Atlas used to be according to the pro acknowledgement of destructive surgical effects because of wrong or incomplete ways 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 equipment, it will be significant to obey numerous ideas of behaviour con stituting the root for proper surgical execution: a) to admire the anatomy of the muscular and neural formations; b) to defend the vascularization of those anatomical parts and accordingly of the osteoarticular gear; c) to take advantage of the main applicable surgical methods absolutely respecting the neighborhood anatomy and the least aggravating publicity of the skeleton; d) to properly practice surgical procedure, hence developing the easiest 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 entire: now we have established our number of the previous on their frequency within the basic surgical task of any specialized ward, and the latter at the surgi cal techniques most typically utilized by the third department of the Rizzoli Orthopaedic Institute. extensive surgical techniques for the surgical procedure of bone tumors were excluded as they take care of particular «compartmental» equipment which don't contain the anatomic ideas to be within the basic therapy of orthopaedic and trau matologic affections of the extremities.
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Extra info for Anatomical Exposures and Surgical Approaches to the Limbs Anatomische Darstellungen und Zugangswege in der Chirurgie der Extremitäten
56 THE RADIAL NERVE AT THE POSTERIOR CAVITY OF THE ARM N. RADIALIS IN DER REGIO BRACHII POSTERIOR / 7 L / ( 57 THE RADIAL NERVE AT THE ANTERIOR CAVITY OF THE ARM Anatomical site: between the brachialis and the supinator longus. The patient is in supine decubitus; the limb is slightly intrarotated and resting on the trunk, the elbow is in semi-flexion, the forearm moderately pronated. The incision runs parallel to the projection of the external bicipital groove. - After opening up the fascia the interval between the supinator longus 1 and the brachialis 2 is located: to distend the supinator longus, it is best to further pronate the forearm.
The aponeurosis, with the tendinous prominences of the extensor pollicis longus I above and the extensor pollicis brevis 2 below, may be observed. The aponeurosis is opened up parallel to the skin incision and exactly half way between the two tendinous prominences described above. The artery 3* crosses the surgical field obliquely after crossing the tendon of the extensor pollicis brevis 2 and disappears under the tendon of the extensor pollicis longus 1, after a branch has been supplied to the thumb.
To reveal the radial nerve 5 in the area between the posterior and anterior cavities, the triceps 4 is strongly retracted downwards keeping the interval between the brachialis and the supinator longus wide open. N. RADIALIS IN DER REGIO BRA CHII POSTERIOR (Fortsetzung) - Durch Spalten des Septum intermusculare laterale kann der N. radialis auch zwischen dem M. brachioradialis 7 und dem M. brachialis 8 jreigelegt werden. - Zur Aufjindung des nahe am Knochen verlaujenden Nervs ist der M. brachialis 8 nach lateral zu halten; der M.
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.)