Muscular system by Vincent Perez

By Vincent Perez

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Accuracy with this step substantially facilitates operative identification of the nerves. The distal spinal accessory nerve is marked at a point 40% of the distance from the midline of the cervicothoracic spine to the acromion. The suprascapular nerve is marked at its course through the suprascapular notch, which is located at a point 50% of the distance from the superior angle of the medial border of the scapula to the acromion (Fig. 4). The surgical incision is planned and marked as a transverse line encompassing these two points.

P. 1381. [45] Davis TRC. Median nerve palsy. In: Green DP, Hotchkiss RN, Pederson WC, et al, editors. Green’s operative hand surgery. 5th edition. Philadelphia: Elsevier; 2005. vol 1. p. 1131. [46] Mackinnon SE, Dellon AL. Anatomic investigations of nerves at the wrist: I. Orientation of the motor fascicle of the median nerve in the carpal tunnel. Ann Plast Surg 1988;21:32–5. [47] Vernadakis AJ, Humphreys DB, Mackinnon SE. Distal anterior interosseous nerve in the recurrent [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] 339 motor branch graft for reconstruction of a median nerve neuroma-in-continuity.

Vol 1. p. 1131. [46] Mackinnon SE, Dellon AL. Anatomic investigations of nerves at the wrist: I. Orientation of the motor fascicle of the median nerve in the carpal tunnel. Ann Plast Surg 1988;21:32–5. [47] Vernadakis AJ, Humphreys DB, Mackinnon SE. Distal anterior interosseous nerve in the recurrent [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] 339 motor branch graft for reconstruction of a median nerve neuroma-in-continuity. J Reconstr Microsurg 2004;20:7–11.

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