Intro; Acknowledgments; Preface; References; Contents; Contributors; 1: Historical Perspective on Joint Denervation; Introduction; Nikolaus Rüdinger (1832-1896): First Description of Joint Innervation; John Hilton (1805-1878): Hilton's Law (1863); "Total" Joint Denervation; Albrecht Wilhelm (1929-2017); Elbio Cozzi (1926-1984); "Partial" Joint Denervation; Discussion; References; 2: Proprioception and Charcot Joint; Proprioception; Definition; Is Proprioception Due to a "Muscle Sense"?; Clinical Observations; Cutaneous Afferents Are Responsible for Proprioception
Author's Preferred Denervation TechniqueVolar Denervation of the First CMC Joint; (Total) Denervation of the First CMC Joint; Clinical Results; Clinical Example; References; 5: Ulnar Wrist Denervation; Anatomy; Treatment Options; Diagnostic Nerve Blocks; Author's Preferred Denervation Technique; Special Anatomic Clinical Situations; Injury to the Dorsal Cutaneous Branch of the Ulnar Nerve; Clinical Results; Clinical Example; References; 6: Lateral Elbow (Tennis Elbow) Denervation; Anatomy; "Tennis Elbow"; Treatment Options
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Hypothesis: Lateral Humeral Epicondylar Pain Originates from the Nerve Innervating the Lateral Humeral EpicondyleDiagnostic Nerve Blocks; Author's Preferred Denervation Technique; Post-operative Considerations; Special Anatomic Clinical Situations; Radial Nerve Compression; Clinical Results of Denervation for LHE; Clinical Example; References; 7: Medial Elbow (Pitcher's and Golfer's Elbow) Denervation; Anatomy; Pitcher's and Golfer's Elbow; Treatment Options; Hypothesis: Pain from the Medial Humeral Epicondyle Is Transmitted by a Nerve; Diagnostic Nerve Blocks
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What Is the Physiologic Role of Joint Receptors?Charcot Joint?; Conclusions; References; 3: Central Wrist Denervation; Anatomy; Total Versus Partial Wrist Denervation; "Central" Wrist Joint; Posterior Interosseous Nerve; Anterior Interosseous Nerve; Treatment Options; Diagnostic Nerve Blocks; Author's Preferred Denervation Technique; Single Dorsal Incision and Partial Denervation; Clinical Results; Examples; Complications; Clinical Example; References; 4: Radial Wrist Denervation; Anatomy; Treatment Options; Diagnostic Nerve Blocks; Special Anatomic Clinical Situations
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SUMMARY OR ABSTRACT
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This book serves as an anatomic atlas of the nerves that innervate the joints of the human body in a format that also provides technical insight into pathways that both interventional pain management and surgical subspecialists can use to denervate those painful joints when traditional approaches to manage the pain are no longer successful. This book avails the knowledge of how denervation can relieve joint pain available to the many groups of physicians who care for this problem. Each chapter is devoted to a joint and reviews the neural anatomy as it relates to the clinical examination of the patient. Chapters are user friendly and provide details on the indicated nerve blocks and the clinical results of partial joint denervation. Clinical case studies also serve as a helpful guide in each chapter. Extensive intra-operative clinical photographs and photographs from new prosections provide examples to guide those physicians providing care to the patients with joint pain. Joint Denervation: Anatomic Atlas of Surgical Technique should be of interest to surgical subspecialists from Neurosurgery, Plastic Surgery, Hand Surgery, Orthopedic Surgery, Podiatric Foot & Ankle Surgery, and Oral & Maxillofacial Surgeons. It may also interest those physicians trained in Anesthesia, Radiology, and Physical & Rehabilitation Medicine for their evaluation and treatment protocols using hydrodissection, cryoablation and pulsed radiofrequency approaches to pain.