The Anatomical Foundations of Regional Anesthesia and Acute Pain Medicine Macroanatomy Microanatomy Sonoanatomy Functional anatomy

Author(s): André P. Boezaart

DOI: 10.2174/9781681081915116010020

Functional Anatomy of the Nerves of the Lower Extremity

Pp: 261-270 (10)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

All or most of the nerves of interest to regional anesthesiologists or acute pain physicians are mixed nerves with autonomic, sensory, motor, and proprioception functions. Each function is conducted by a specific type of nerve axon. We provided an overview of these axons and their functions in Chapter 2 (Table 1 of Chapter 2). For the purposes of this chapter, the authors focus on the sensory and motor function of each of the nerves. To create the video productions that accompany this chapter, Mary Bryson painted the muscles and nerves on a model and we used percutaneous nerve mapping as described by Bösenberg and his colleagues to illustrate the motor function of each nerve (Movies 1 to 6). With the aid of a peripheral nerve stimulator, the path of many superficial peripheral nerves can be “mapped” prior to skin penetration by stimulating the motor component of the peripheral nerve percutaneously with 1.5- to 2.5-mA current output.

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