lunes, 13 de marzo de 2017

Anatomía y patología neural del cuello / Neural Anatomy and Pathology of the Neck

Febrero 7, 2017. No. 2593







Imágenes de Alta Resolución de la Anatomía Neural y la Patología del Cuello.
High-resolution Imaging of Neural Anatomy and Pathology of the Neck.
Korean J Radiol. 2017 Jan-Feb;18(1):180-193. doi: 10.3348/kjr.2017.18.1.180. Epub 2017 Jan 5.
Abstract
The neck has intricately connected neural structures, including cervical and brachial plexi, the sympathetic system, lower cranial nerves, and their branches. Except for brachial plexus, there has been little research regarding the normal imaging appearance or corresponding pathologies of neural structures in the neck. The development in imaging techniques with better spatial resolution and signal-to-noise ratio has made it possible to see many tiny nerves to predict complications related to image-guided procedures and to better assess treatment response, especially in the management of oncology patients. The purposes of this review is to present imaging-based anatomy of major nerves in the neck and explain their relevant clinical significance according to representative pathologies of regarded nerves in the neck.
KEYWORDS: Anatomy; Brachial plexus; Cervical plexus; Cervical vertebrae; Magnetic resonance imaging; Neck; Pathology; Spinal accessory nerve; Sympathetic ganglion; Vagus nerve
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Curso Internacional de Actualidades en Anestesiología
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Cuidad de México, Febrero 9-11, 2017
Informes  ceddem_innsz@yahoo.com 
Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología.
Committee for European Education in Anaesthesiology (CEEA) 
y el Colegio de Anestesiólogos de León A.C.
Abril 7-9, 2017, León Guanajuato, México

Informes  (477) 716 06 16, kikinhedz@gmail.com
Regional Anesthesiology and Acute Pain Medicine Meeting
April 6-8, 2017, San Francisco, California, USA
ASRA American Society of Regional Anesthesia and Pain Medicine
California Society of Anesthesiologists
Annual Meeting April 27-30, 2017
San Francisco California
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Anestesiología y Medicina del Dolor

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Técnicas de cobertura de heridas: Colgajos libres


Wound coverage techniques: Free FLAPS

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Narrated, annotated lecture 3 of 3 on general principles of free flap coverage of traumatic extremity wounds from the OTA resident lecture series (narrated by Saqib Rehman, MD), from Orthoclips.com.
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Vía integrada para el cuidado de la columna vertebral


Integrated Spine Care Pathway

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Courtesy: Seattle Science Foundation
Saskatchewan Spine Pathway Development, Implementation & Outcomes was presented by Daryl R. Fourney, M.D., FRCSC, FASC at our monthly Neurosurgery Grand Rounds on February 16, 2017.
Seattle Science Foundation is a non-profit organization dedicated to the international collaboration among physicians, scientists, technologists, engineers and educators. The Foundation’s training facilities and extensive internet connectivity have been designed to foster improvements in health care through professional medical education, training, creative dialogue and innovation.
NOTE: All archived recorded lectures are available for informational purposes only and are only eligible for self-claimed Category II credit. They are not intended to serve as, or be the basis of a medical opinion, diagnosis, prognosis, or treatment for any particular patient.
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Instabilidad Multidireccional del Hombro: Aumento Labral Artroscópico


Multidirectional Shoulder Instability: Arthroscopic Labral Augmentation
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Article Info

Publication HistoryPublished online:February 20, 2017Accepted:September 12, 2016Received:March 22, 2016Todos los derechos reservados para:© 2016 by the Arthroscopy Association of North AmericaCopyright © 2017
Elsevier Inc. All rights reserved.

Abstract

Capsulolabral augmentation is one of the most used arthroscopic techniques to address multidirectional instability of the shoulder. Given the thin and weak capsule seen in the affected patients, reconstruction in this subset of patients can be particularly challenging. This arthroscopic technique aims to reduce the capsular volume and deepen the glenoid socket through the creation of a particularly voluminous “bumper” along the glenoid bone. Increasing the depth of the glenoid facilitates a concavity-compression stabilizing effect and, therefore, shoulder stability, especially midrange stability. This technique aims to augment the bump of the standard capsulolabral reconstruction by using a resorbable surgical mesh derived from porcine skin.
Resumen
El aumento capsulolabral es una de las técnicas artroscópicas más utilizadas para tratar la inestabilidad multidireccional del hombro. Dada la cápsula delgada y débil vista en los pacientes afectados, la reconstrucción en este subconjunto de pacientes puede ser particularmente difícil. Esta técnica artroscópica pretende reducir el volumen capsular y profundizar la cavidad glenoidea mediante la creación de un “parachoques” particularmente voluminoso a lo largo del hueso glenoideo. El aumento de la profundidad de la glenoide facilita un efecto de estabilización de la concavidad-compresión y, por lo tanto, la estabilidad del hombro, especialmente la estabilidad de mediano rango. Esta técnica tiene como objetivo aumentar la protuberancia de la reconstrucción capsulolabral estándar mediante el uso de una malla quirúrgica reabsorbible derivada de la piel porcina.