Endoscopically assisted decompression of the median nerve in the pronator and Kiloh-Nevin syndrome: Surgical technique

STATE OF THE ART The proximal median nerve compression syndrome includes the pronator teres and the Kiloh-Nevin syndrome. This article presents a new surgical technique of endoscopic assisted median nerve decompression. MATERIAL AND SURGICAL TECHNIQUE Endoscopic scissor decompression of the median nerve is always performed under plexus anaesthesia. It includes 6 key steps documented in this article. We review the indications and limitations of the surgical technique. RESULTS Since 2011, three clinical series have highlighted the advantages of this technique. Functional and subjective results are discussed. We also review the limitations of the technique and its potential for future development. CONCLUSION Although clinical results after endoscopic assisted decompression of the median nerve appear excellent they still need to be compared with conventional techniques. Clinical studies are likely to develop primarily due to the mini-invasive nature of this new surgical technique.

Images rhétoriques & visions de l'Univers dans la vulgarisation scientifique

Cette thèse a pour objectif premier d’analyser les images rhétoriques (procédant par analogie) contenues dans un corpus d’ouvrages de vulgarisation scientifique ayant trait à la physique (astrophysique et physique quantique). Privilégiant une optique pluridisciplinaire, cet ouvrage s’applique à constituer - puis démontrer - l’extrême importance de ce cadre référentiel. Cette étude met également en lumière la caractéristique essentielle de la vulgarisation francophone, tout en insistant sur la nécessité de développer l’entreprise de vulgarisation scientifique. Les différentes visions proposées par les scientifiques eux-mêmes concernant notre monde, la valeur de leur imagerie ou de la composante épistémologique dans tout acte de connaissance font également partie intégrante de cette «réflexion», «véritable» reflet de notre savoir.

Neurotized lateral gastrocnemius muscle transfer for persistent traumatic peroneal nerve palsy: Surgical technique

INTRODUCTION Persistent traumatic peroneal nerve palsy, following nerve surgery failure, is usually treated by tendon transfer or more recently by tibial nerve transfer. However, when there is destruction of the tibial anterior muscle, an isolated nerve transfer is not possible. In this article, we present the key steps and surgical tips for the Ninkovic procedure including transposition of the neurotized lateral gastrocnemius muscle with the aim of restoring active voluntary dorsiflexion. SURGICAL TECHNIQUE The transposition of the lateral head of the gastrocnemius muscle to the tendons of the anterior tibial muscle group, with simultaneous transposition of the intact proximal end of the deep peroneal nerve to the tibial nerve of the gastrocnemius muscle by microsurgical neurorrhaphy is performed in one stage. It includes 10 key steps which are described in this article. Since 1994, three clinical series have highlighted the advantages of this technique. Functional and subjective results are discussed. We review the indications and limitations of the technique. CONCLUSION Early clinical results after neurotized lateral gastrocnemius muscle transfer appear excellent; however, they still need to be compared with conventional tendon transfer procedures. Clinical studies are likely to be conducted in this area largely due to the frequency of persistant peroneal nerve palsy and the limitations of functional options in cases of longstanding peripheral nerve palsy, anterior tibial muscle atrophy or destruction.

Vom Wettermacher zum Ökosystemgestalter - Biodiversität und Klimawandel aus der Sicht der Entwicklungszusammenarbeit

Die internationale Entwicklungszusammenarbeit ist im Umbruch. Die drohenden Auswirkungen des globalen Wandels halten uns vor Augen, wie klein und verletzlich unsere Erde ist. Es wird höchste Zeit, dass die Weltgemeinschaft die Kräfte für ein koordiniertes Vorgehen zu Gunsten einer nachhaltigen Entwicklung auf allen Ebenen bündelt. Dieser Beitrag zeigt einige wesentliche Elemente der Herausforderung und entwirft eine Positionierung aus Sicht einer internationalen Entwicklungszusammenarbeit, welche der Armutsbekämpfung und der nachhaltigen Entwicklung verpflichtet ist.