Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity
Summary:. The lumbosacral plexus is the network of nerves responsible for the motor and sensory function of the pelvis and lower limb. Our observation is that the anatomy of this plexus is less familiar to surgeons than that of the brachial plexus. Damage to the lumbosacral plexus and its terminal b...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005537 |
| _version_ | 1797341072449339392 |
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| author | Sami Ramadan, FRCS(Plast) Catherine Leng, MRCS Liron S. Duraku, MD, PhD Tahseen Chaudhry, FRCS(Tr&Orth) Dominic M. Power, FRCS(Tr&Orth) Samuel George, FRCS(Plast) |
| author_facet | Sami Ramadan, FRCS(Plast) Catherine Leng, MRCS Liron S. Duraku, MD, PhD Tahseen Chaudhry, FRCS(Tr&Orth) Dominic M. Power, FRCS(Tr&Orth) Samuel George, FRCS(Plast) |
| author_sort | Sami Ramadan, FRCS(Plast) |
| collection | DOAJ |
| description | Summary:. The lumbosacral plexus is the network of nerves responsible for the motor and sensory function of the pelvis and lower limb. Our observation is that the anatomy of this plexus is less familiar to surgeons than that of the brachial plexus. Damage to the lumbosacral plexus and its terminal branches may have a significant impact on locomotion, posture, and stability. We have designed a visual representation of the lumbosacral plexus to aid clinicians treating peripheral nerve disorders. The utility is illustrated with a case report in which a patient underwent nerve transfers in the lower limb to restore function. A visual representation of the lumbosacral plexus is a valuable adjunct to a clinical examination and helps make sense of clinical signs. The color-coding of each root level and the arrangement of muscles from proximal to distal helps with visual recall. A clear assessment of complex lumbosacral plexus patients is essential for diagnosis and planning. As with the case described, a sound knowledge of the “plexogram” can identify solutions for complex patients and result in significant functional improvements. We hope it helps advance the field of nerve surgery and, particularly, nerve transfers. |
| first_indexed | 2024-03-08T10:12:33Z |
| format | Article |
| id | doaj.art-4fd2f42d6954413ea14d214c8371f5af |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-08T10:12:33Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-4fd2f42d6954413ea14d214c8371f5af2024-01-29T07:01:16ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-01-01121e553710.1097/GOX.0000000000005537202401000-00034Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower ExtremitySami Ramadan, FRCS(Plast)0Catherine Leng, MRCS1Liron S. Duraku, MD, PhD2Tahseen Chaudhry, FRCS(Tr&Orth)3Dominic M. Power, FRCS(Tr&Orth)4Samuel George, FRCS(Plast)5From * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKFrom * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKFrom * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKFrom * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKFrom * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKFrom * The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, UKSummary:. The lumbosacral plexus is the network of nerves responsible for the motor and sensory function of the pelvis and lower limb. Our observation is that the anatomy of this plexus is less familiar to surgeons than that of the brachial plexus. Damage to the lumbosacral plexus and its terminal branches may have a significant impact on locomotion, posture, and stability. We have designed a visual representation of the lumbosacral plexus to aid clinicians treating peripheral nerve disorders. The utility is illustrated with a case report in which a patient underwent nerve transfers in the lower limb to restore function. A visual representation of the lumbosacral plexus is a valuable adjunct to a clinical examination and helps make sense of clinical signs. The color-coding of each root level and the arrangement of muscles from proximal to distal helps with visual recall. A clear assessment of complex lumbosacral plexus patients is essential for diagnosis and planning. As with the case described, a sound knowledge of the “plexogram” can identify solutions for complex patients and result in significant functional improvements. We hope it helps advance the field of nerve surgery and, particularly, nerve transfers.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005537 |
| spellingShingle | Sami Ramadan, FRCS(Plast) Catherine Leng, MRCS Liron S. Duraku, MD, PhD Tahseen Chaudhry, FRCS(Tr&Orth) Dominic M. Power, FRCS(Tr&Orth) Samuel George, FRCS(Plast) Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity Plastic and Reconstructive Surgery, Global Open |
| title | Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity |
| title_full | Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity |
| title_fullStr | Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity |
| title_full_unstemmed | Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity |
| title_short | Lumbosacral Plexogram: An Aid to Reconstructive Nerve Possibilities in the Lower Extremity |
| title_sort | lumbosacral plexogram an aid to reconstructive nerve possibilities in the lower extremity |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005537 |
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