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http://dx.doi.org/10.37825/2239-9747.1057 | DOI Listing |
J Clin Orthop Trauma
October 2025
Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College Hospital, Siruvachur, Perambalur, India.
Background: Upper brachial plexus injuries often necessitate complex nerve transfers, which are traditionally performed under general anesthesia (GA). In patients with polytrauma or significant comorbidities, GA may present additional perioperative risks. The Wide Awake Local Anesthesia No Tourniquet (WALANT) technique offers a potential alternative by enabling nerve transfers under local anesthesia with real-time patient feedback and without the need for sedation or airway management.
View Article and Find Full Text PDFJ Hand Microsurg
September 2025
Plastic and Brachial Plexus Surgeon, India.
Background: In upper brachial plexus (C5-C6) avulsion injuries, deltoid reinnervation via radial-to-axillary nerve transfer is standard. However, fracture-dislocations around the shoulder complicate surgical exposure due to fibrosis and distorted anatomy.
Methods: Fifteen male patients (mean age: 26.
Cureus
May 2025
Department of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
While most anatomical variations in cervical neurovasculature remain asymptomatic throughout life, clinical impacts may arise during surgical procedures, potentially worsening patient outcomes. This case report highlights two unique anatomical variations observed in the arteries of the right neck and shoulder regions of a 75-year-old Caucasian male donor body. The first variation was the origin of the suprascapular artery (SSA), the primary blood supply to two of the four rotator cuff muscles.
View Article and Find Full Text PDFSurg Radiol Anat
April 2025
Department of Anatomy, School of Medicine, Istanbul Medeniyet University, Istanbul, Türkiye.
Purpose: The subclavian artery is a major vessel supplying the neck and upper limbs, and significant anatomical variations are often observed in its branches. This study investigated bilateral variations in the branching of the subclavian arteries, including rare deviations such as the presence of a thyrovertebral trunk and altered origins of several branches of the subclavian arteries. The goal of this study was to contribute to the limited literature on these anomalies, which have implications for clinical practice and surgical procedures.
View Article and Find Full Text PDFTransl Med UniSa
August 2024
Department of Anesthesia and Critical Care, ARCO Roma, Ospedale Pediatrico Bambino Gesù IRCCS, Rome, Italy.