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.

L'Aborigène de Riga. Anthologie de poèmes de Janis Rokpelnis. Choix, traduction et commentaire par Alain Schorderet. Avec des encres de Catherine Bolle

Ce livre présente un choix de poèmes d’un des plus grands poètes lettons des quarante dernières années, Jānis Rokpelnis. Mêlant tradition et modernité, érudition et banalité dans ses vers, influencé par les traditions occidentale et locale, Jānis Rokpelnis a su traverser des périodes mouvementées avec une constance remarquable ; son œuvre documente aussi, mais sur un plan abstrait et jamais politique au sens premier du terme, la transformation d’un pays entre Union soviétique et indépendance.