Our decision to dedicate several years to the writing of this Atlas was based on the professional acknowledgement of negative surgical results due to incorrect or incomplete approaches to the bones or joints requiring treatment. We are convinced that in order to obtain the best possible anatomic and functional results in surgery of the locomotor apparatus, it is necessary to obey several rules of behaviour con stituting the basis for correct surgical execution: a) to respect the anatomy of the muscular and neural formations; b) to safeguard the vascularization of these anatomical elements and…mehr
Our decision to dedicate several years to the writing of this Atlas was based on the professional acknowledgement of negative surgical results due to incorrect or incomplete approaches to the bones or joints requiring treatment. We are convinced that in order to obtain the best possible anatomic and functional results in surgery of the locomotor apparatus, it is necessary to obey several rules of behaviour con stituting the basis for correct surgical execution: a) to respect the anatomy of the muscular and neural formations; b) to safeguard the vascularization of these anatomical elements and consequently of the osteoarticular apparatus; c) to use the most appropriate surgical approaches fully respecting the regional anatomy and the least traumatic exposure of the skeleton; d) to correctly perform surgery, thus creating the best conditions for the excel lent recovery of the function of the limb. The anatomic findings and surgical approaches to the extremities described here are not complete: we have based our selection of the former on their frequency in the normal surgical activity of any specialised ward, and the latter on the surgi cal approaches most commonly used by the 3rd Division of the Rizzoli Orthopaedic Institute. Wide surgical approaches for the surgical treatment of bone tumors have been excluded as they deal with specific «compartmental» methods which do not involve the anatomic rules to be followed in the normal treatment of orthopaedic and trau matologic affections of the extremities.
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Inhaltsangabe
One Upper Limb-Anatomical Exposures.- The brachial plexus in the supraclavicular region.- The neurovascular plexus in the subclavicular region.- Large approach to the brachial plexus.- The neurovascular bundle at the axilla.- The circumflex nerve in the posterior site.- The musculocutaneous nerve at the arm.- The ulnar nerve at the arm.- The ulnar nerve at the elbow.- The ulnar nerve and artery at the forearm.- The ulnar nerve at Guyon's canal.- The median nerve at the arm.- The humeral artery and median nerve at the elbow.- The median nerve at the forearm.- The median nerve at the carpus.- The radial nerve at the posterior cavity of the arm.- The radial nerve at the anterior cavity of the arm.- The radial nerve at the bifurcation.- The interosseous dorsal nerve.- The radial artery at the mid-distal third of the forearm.- The radial artery at the anatomical snuff-box.- Two Upper Limb-Surgical Approaches.- Approach to the clavicle.- Approach to the sternoclavicular joint.- Approach to the acromioclavicular joint.- Approach to the spine of scapula, supra- and subspinous region.- Approach to the external margin of the scapula.- Larghi approach.- Larghi approach enlarged externally.- Upper transdeltoid approach (Nelaton's ?shoulder pad?).- Posterior transacromiodeltoid approach.- Posterior transdeltoid approach.- Approach to the proximal metaphysis and diaphysis of the humerus.- External bicipital approach.- Large approach to the humerus.- Lateral approach to the lower third of the diaphysis.- Transtricipital approach.- Transolecranic approach.- Boyd approach.- Approach to the olecranon and proximal third of the ulna.- Approach to the ulnar diaphysis.- Approach to the radius (proximal half).- Approach to the radius (distal half).- Approach to the wrist.- Three Lower Limb-Anatomical Exposures.- The gluteal artery.- The sciatic nerve in the gluteal site.- The femoral artery at Scarpa's triangle.- The crural nerve at the root of the thigh (approach enlarged upwards).- Thefemorocutaneous nerve.- The anterior branch of the obturator nerve and artery.- The sciatic nerve (upper third of the thigh).- The sciatic nerve at the middle third of the thigh.- The sciatic nerve (approach enlarged to the thigh).- The femoral artery at Hunter's canal.- The femoropopliteal arterial trunk.- The neurovascular plexus at the popliteal lozenge.- The external popliteal sciatic nerve (peroneus communis) in the popliteal region.- The posterior tibial artery at the middle third of the leg.- The posterior tibial artery at the distal third of the leg.- The posterior tibial artery in the malleolar site.- The peroneal artery at the upper middle third of the leg.- The external plantar artery.- The internal plantar artery.- The tibialis anterior at the proximal two-thirds of the leg.- The tibialis anterior at the ankle.- The dorsal artery of the foot at the dorsum of the foot.- Four Lower Limb-Surgical Approaches.- Iliocrural approach.- Judet-Letournel ilioinguinal approach.- Letournel lateral approach.- Iselin approach.- Exposure of the ischiatic tuberosity.- Smith-Petersen approach.- Watson-Jones anteroexternal approach.- Gibson posteroexternal approach.- Moore posteroexternal approach.- Large lateral approach to the coxofemoral joint.- Approach to the proximal metaphysis.- Approach to the proximal third of the diaphysis.- Approach to the diaphysis (enlarged).- Approach to the middle third of the diaphysis (posterior approach).- Approach to the distal metaphysis (external approach).- Approach to the distal metaepiphysis (enlarged).- External approach to the knee.- Internal approach to the knee.- Posteroexternal approach to the knee.- External approach to the tibial plate.- Posterior approach to the proximal tibial metaphysis.- Anteroexternal approach to the tibia.- Approach to the interosseous membrane.- Approach to the tibial malleolus.- Approach to the medial malleolus and the third malleolus.- Lateral approach to the ankle joint.- Anterior approach to the ankle joint.- Medial approach to the ankle joint.- Anteroexternal approach to the ankle joint and midtarsal joint.- Lateral approach to the talocalcanean joint and the calcaneum.- Approach to the tarsal scaphoid bone.- Anterior approach to the midtarsal joint.- Lateral approach to the talocalcanean and midtarsal joints.- Dorsal approach to the metatarsus.- Approach to the proximal interphalangeal joint of the second toe.- Approach to the metatarsophalangeal joint of the second toe.- Medial approach to the metatarsophalangeal joint of the great toe.- Dorsal approach to the metatarsophalangeal joint of the great toe.- Plantar approach to the metatarsophalangeal joint of the second toe.
One Upper Limb-Anatomical Exposures.- The brachial plexus in the supraclavicular region.- The neurovascular plexus in the subclavicular region.- Large approach to the brachial plexus.- The neurovascular bundle at the axilla.- The circumflex nerve in the posterior site.- The musculocutaneous nerve at the arm.- The ulnar nerve at the arm.- The ulnar nerve at the elbow.- The ulnar nerve and artery at the forearm.- The ulnar nerve at Guyon's canal.- The median nerve at the arm.- The humeral artery and median nerve at the elbow.- The median nerve at the forearm.- The median nerve at the carpus.- The radial nerve at the posterior cavity of the arm.- The radial nerve at the anterior cavity of the arm.- The radial nerve at the bifurcation.- The interosseous dorsal nerve.- The radial artery at the mid-distal third of the forearm.- The radial artery at the anatomical snuff-box.- Two Upper Limb-Surgical Approaches.- Approach to the clavicle.- Approach to the sternoclavicular joint.- Approach to the acromioclavicular joint.- Approach to the spine of scapula, supra- and subspinous region.- Approach to the external margin of the scapula.- Larghi approach.- Larghi approach enlarged externally.- Upper transdeltoid approach (Nelaton's ?shoulder pad?).- Posterior transacromiodeltoid approach.- Posterior transdeltoid approach.- Approach to the proximal metaphysis and diaphysis of the humerus.- External bicipital approach.- Large approach to the humerus.- Lateral approach to the lower third of the diaphysis.- Transtricipital approach.- Transolecranic approach.- Boyd approach.- Approach to the olecranon and proximal third of the ulna.- Approach to the ulnar diaphysis.- Approach to the radius (proximal half).- Approach to the radius (distal half).- Approach to the wrist.- Three Lower Limb-Anatomical Exposures.- The gluteal artery.- The sciatic nerve in the gluteal site.- The femoral artery at Scarpa's triangle.- The crural nerve at the root of the thigh (approach enlarged upwards).- Thefemorocutaneous nerve.- The anterior branch of the obturator nerve and artery.- The sciatic nerve (upper third of the thigh).- The sciatic nerve at the middle third of the thigh.- The sciatic nerve (approach enlarged to the thigh).- The femoral artery at Hunter's canal.- The femoropopliteal arterial trunk.- The neurovascular plexus at the popliteal lozenge.- The external popliteal sciatic nerve (peroneus communis) in the popliteal region.- The posterior tibial artery at the middle third of the leg.- The posterior tibial artery at the distal third of the leg.- The posterior tibial artery in the malleolar site.- The peroneal artery at the upper middle third of the leg.- The external plantar artery.- The internal plantar artery.- The tibialis anterior at the proximal two-thirds of the leg.- The tibialis anterior at the ankle.- The dorsal artery of the foot at the dorsum of the foot.- Four Lower Limb-Surgical Approaches.- Iliocrural approach.- Judet-Letournel ilioinguinal approach.- Letournel lateral approach.- Iselin approach.- Exposure of the ischiatic tuberosity.- Smith-Petersen approach.- Watson-Jones anteroexternal approach.- Gibson posteroexternal approach.- Moore posteroexternal approach.- Large lateral approach to the coxofemoral joint.- Approach to the proximal metaphysis.- Approach to the proximal third of the diaphysis.- Approach to the diaphysis (enlarged).- Approach to the middle third of the diaphysis (posterior approach).- Approach to the distal metaphysis (external approach).- Approach to the distal metaepiphysis (enlarged).- External approach to the knee.- Internal approach to the knee.- Posteroexternal approach to the knee.- External approach to the tibial plate.- Posterior approach to the proximal tibial metaphysis.- Anteroexternal approach to the tibia.- Approach to the interosseous membrane.- Approach to the tibial malleolus.- Approach to the medial malleolus and the third malleolus.- Lateral approach to the ankle joint.- Anterior approach to the ankle joint.- Medial approach to the ankle joint.- Anteroexternal approach to the ankle joint and midtarsal joint.- Lateral approach to the talocalcanean joint and the calcaneum.- Approach to the tarsal scaphoid bone.- Anterior approach to the midtarsal joint.- Lateral approach to the talocalcanean and midtarsal joints.- Dorsal approach to the metatarsus.- Approach to the proximal interphalangeal joint of the second toe.- Approach to the metatarsophalangeal joint of the second toe.- Medial approach to the metatarsophalangeal joint of the great toe.- Dorsal approach to the metatarsophalangeal joint of the great toe.- Plantar approach to the metatarsophalangeal joint of the second toe.
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