Nerve Torsion (Rotation)
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Rare observations of cases of suddenly rotated nerve segments are cited from the literature. The similar typically affected shoulder and arm nerves are listed according to these reports. A leading symptom is the apoplectiform severe pain, similar to that of the Parsonage-Turner syndrome. Suspected pathophysiological factors – as discussed in the literature – are outlined. The likelihood of increased nerve structure stiffness is discussed. The appearance of such rotated nerve segments in high resolution ultrasound images is described and illustrated by figures of further chapters in the book. Arguments as to how a surgical approach on these lesions can be taken are presented both from the literature and from personal experience.
KeywordsNerve Tortuosity High Resolution Ultrasound Imaging Parsonage-Turner Syndrome Complete Constriction Microsurgical Exploration
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