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The Upper Limb

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Selected References in Elective Orthopaedics

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Abstract

Chalmers produced a comprehensive recent review on nerve compression syndromes in the upper limb, including anatomy, clinical features, diagnostic tests and treatment. The large number of systemic and local conditions contributory to a carpal tunnel syndrome were tabled, with references to each. The clinical presentation and treatment of the pronator teres and anterior interosseous nerve syndromes were discussed. The causes of ulnar nerve compression both at the elbow and in relation to Guyon’s canal were tabled. The arguments were marshalled for simple decompression as against anterior transposition for release of the ulnar nerve compression at the elbow. Subcutaneous and intramuscular beds are considered unsatisfactory and transposition deep to the flexor muscles is recommended. Howard considered controversies in relation to the five tunnels in the forearm and wrist where nerve entrapment may occur. A positive EMG report reinforces a clinical impression but if negative, does not exclude an entrapment syndrome.

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Author information

Authors and Affiliations

  1. United Bristol Hospitals, 2 Clifton Park, Bristol, BS9 3BS, UK

    A. H. C. Ratliff ChM, FRCS (Emeritus Consultant Orthopaedic Surgeon)

  2. Department of Orthopaedic Surgery, Bristol Royal Infirmary, Bristol, BS2 8HW, UK

    R. M. Atkins DM, FRCS (Consultant Senior Lecturer) & Miss D. M. Eastwood MB ChB, FRCS (Senior Registrar)

Authors
  1. A. H. C. Ratliff ChM, FRCS
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  2. R. M. Atkins DM, FRCS
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  3. Miss D. M. Eastwood MB ChB, FRCS
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© 1991 Springer-Verlag Berlin Heidelberg

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Ratliff, A.H.C., Atkins, R.M., Eastwood, D.M. (1991). The Upper Limb. In: Selected References in Elective Orthopaedics. Springer, London. https://doi.org/10.1007/978-1-4471-1869-5_2

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  • DOI: https://doi.org/10.1007/978-1-4471-1869-5_2

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-19682-2

  • Online ISBN: 978-1-4471-1869-5

  • eBook Packages: Springer Book Archive

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