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A-0358 New Open and Arthroscopic-Assisted Approaches of the Axillary Nerve
Andres A. Maldonado, Bassem T. Elhassan, Allen T. Bishop, Alex Y. Shin, Robert J. Spinner, 1 Department of Plastic, Hand and Reconstructive Surgery, BG Unfallklinik Frankfurt, Germany; 2 Department of Neurosurgery, Mayo Clinic, Rochester (MN), USA
Friday, June 15, 2018 · 6:17 p.m. · 06m 39s
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so no the scriptures i think interested in the last two years in the x. hillary nerve
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um when we haven't actually near if uh in your it's really important sometimes to be able to see the whole interface
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you know there to take decisions for the treatment so we probably
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should two years when curious to blindfold of x. either interface
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i'm going to go through we really quickly so the blank sort of actually interface
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uh you can see here when we do our detector approached and to approach
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a you can see here at the x. learned in the white race look and then
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we mark the most the style part of thinner that we were able to visualise
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okay that's the most is that part of the accelerator now in the
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same colour if we go for the for the posterior approach
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and we do the same thing you can see the liquid letters space actually nerve
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and then we put a second clip in the most proximate part of the
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nerve that we're able to see from the from this poster approach
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we took an x. ray and you can secure the two clips so there is a part of manoeuvre that we are not able to see that's what we
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call it a blank them right and you can see here um that's it
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posted or corporate interface that's gonna be the anterior part of the nerve
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that would be day part of thinner that we were not able to see
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and that's the it too complex part that's mean the one from posterior
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quite so the aim of this study is how to figure out new
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approaches new ways to see this actually don't or unwilling to
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talk about two approaches one is the extended approaches and then the
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second it's what we call the after school be assisted approach
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so first extended approach um when we go for the
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standard that the better approach we realise they
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you can see here that's the x. learner from that and your approach and then we realise they can join tendon
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we cut the content and on and then we put a second clip
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to see ah just see how it's friday and we were able
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a it to see using these they extend approach and you can see here the actually learned in
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green would be that part of thinner that using this an approach enjoys what we extra
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get with a a cutting the content in an integrated part that we cannot
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see now we're looking at right side of the of the net picture we're going to the same thing with a poster approach
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so we basically ah find x. very nerve we can't be a young kid of a triceps
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and then we put ah second clip in the most proximate part you can switch you again the green part would be that part
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of the nerve that we're able to see with the standard approach in jail what we get with after they extended approach
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n. great what we're not able to see knell finally willing to talk about the after school because this approach that means
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we use that's the colour we use the standard poster
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approach so we look for the x. eleven interfere
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and then we introduce this call from posterior and we put backlit in the most and cater part
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of thinner were able to see so you can see here that's it acts like a nerve
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and i'm going to put actually in the most and take your part of interface we're able to
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see from posterior you can see it's far far until you're so almost the whole nerve
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and finally we open from until you're in well that's actually entered posted recorded by the
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nerve and you can see here the clip up sorry so you see here
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or you cannot see or okay whatever so that's that's good we were typically please i'm really consider so in conclusion
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should we propose here to kind of new approaches to see actually learned what would be the extension approaches
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and the second one would be the after school because these approaches and
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we're right now i'm starting something palestine on what we think
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that of course that's using the after school it's sometimes hard because if you have a scar beating but on the other hand
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uh the blindfold when we go for casey and is larger i think it's larry that this
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one or two centimetres that we described in colours thanks so much for your attention
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thank you it's a very beautiful before most of us don't i
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think the only persons of from the wardens mm one there
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a a thing for most rightmost presentation oh and the
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couple things easy to dividing the congo intended
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everybody but is it i can record or from the the the to return to the body
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what's what's what so like thank you so if you've got the conjuring tenant i would take
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the cork away the tip of the core okay right or wrong with the body and
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i agree with that i think that's a cadaver study i'm not thinking about top highlighting clean cut taxes
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i what time or we're trying to the status quo approach but i think you're right
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would be better to take out from the core quite how we're i think they
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the length of the near the extra length that we're able to see would be the same as needs change for this study
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billionth that we're going to get a thing or the other thing is it was used to use the accelerated or
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the what yes well have only five minutes about that's probably seen g. p. r. s. in depressing
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you cross with the accelerating with the x. larry approach from the t. v. a. n.
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you can see the paper show basically with this approach you can see the thing
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into thinner freely what but you are missing the most proximal and distal part
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good thanks that's a good question i think
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our sports medicine colleagues uh actually go louder the condor intended
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so we'll recover concerns were always camille the sports medicine
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people always collateral and you get a great look at the x. or nerve
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going lower like hundred ten you don't have to take it down
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when you get down to about six o'clock on the uh the eggs or that way and you can
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with that approach you can just take your orders you are just go ahead and get even further we've done that
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actually clinically and so that that you might wanna try that as well okay it works very well thanks
Conference Program
A-0358 New Open and Arthroscopic-Assisted Approaches of the Axillary Nerve
Andres A. Maldonado, Bassem T. Elhassan, Allen T. Bishop, Alex Y. Shin, Robert J. Spinner, 1 Department of Plastic, Hand and Reconstructive Surgery, BG Unfallklinik Frankfurt, Germany; 2 Department of Neurosurgery, Mayo Clinic, Rochester (MN), USA
June 15, 2018 · 6:17 p.m.
A-0596 Clinical and neurophysiological results two years after transfer of the interosseous anterior nerve (AIN) to the deep motor branch of the Ulnar nerve (DBUN)
Rasmus Thorkildsen 1, Frode Thu 1, Lars-Eldar Myrseth 1, Ellen Jørum 2, Inge Petter Kleggetveit 2, Lise Maurstad 3, Bjørg Bolstad 3, Magne Røkkum 1,4, Oslo, Norway
June 15, 2018 · 6:24 p.m.
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