Techniques for Peripheral Nerve Stimulator Implantation of the Upper Extremity

Upper Extremity Peripheral Nerve Anatomy

7 The nerve anatomy of the upper extremity is studied constantly through surgical findings, electrodiagnostic studies, and cadaveric dissections. Although it is recognized that the anatomy is not changing rapidly, knowledge of the anatomic relationships and their significance is increasing. The purpose of the current study is to provide a comprehensive analysis of the nerve anatomy of the upper...

Peripheral nerve injuries and repair in the upper extremity.

Peripheral nerve injuries are commonly seen as a result of domestic, industrial, or military trauma. Sharp objects usually cause these nerve injuries. When assessing these injuries, it is important to evaluate each nerves' motor and sensory function. One must be cognizant of associated injuries such as fractures, vascular damage, and musculotendinous lacerations. The time since the injury, leve...

Use of the peripheral nerve stimulator.

The author discusses various procedures for assessing the patient's degree of muscle relaxation utilizing a peripheral nerve stimulator. Based on clinical observation, a preferred method is offered. To obtain the relaxation necessary for certain surgical procedures, the usual technique is to administer a pre-calculated dose of non-depolarizing muscle relaxant. The most common method to calculat...

Upper Extremity Nerve Blocks

Permanent implantation of peripheral nerve stimulator for combat injury-related ilioinguinal neuralgia.

A peripheral nerve stimulator (PNS) can be an alternative for long-term pain relief refractory to conventional therapeutic modalities. We present a case of chronic incapacitating ilioinguinal neuralgia, which was successfully managed with permanent implantation of a peripheral nerve stimulator. A 26-year-old active duty African American man was referred to the University Pain Clinic with left i...