Basic Learning Pathway: Nerve Surgery – Basics, Tips and Tricks

Learning Objectives of this Pathway:

• Understand the relevant gross and microscopic peripheral nerve surgical anatomy
• Describe the indication(s) for peripheral nerve surgery
• Describe soft tissue handling principles techniques in peripheral nerve surgery
• Describe various intra-operative method(s) and techniques used in peripheral nerve surgery: magnification, intra-operative diagnostics, imaging, etc.
• Describe various materials, implants, and grafts used in nerve surgery
• Describe specific complications and methods of decreasing neuroma recurrence

Day 1: Diagnostics & Workup

Clinical Sessions:

• Intraoperative Electrodiagnostics: How Do You Know Your Release Is Successful?

Podcasts:
Managing Nerve Endings

E-Book Chapters:
None

JFAS Articles:

• Diagnosis and Treatment of Forefoot Disorders. Section 3. Morton's Intermetatarsal Neuroma
• Sonographic Evaluation of Interdigital Neuromas
• Diagnostic Value of Elastography in the Diagnosis of Intermetatarsal Neuroma
• Intraoperative Nerve Monitoring for Tarsal Tunnel Decompression: A Surgical Technique to Improve Outcomes

Day 2​: Nerve Surgery

Surgical Techniques: 

Podcasts:
None

E-Book Chapters:
None

JFAS Articles:

• (Encourage to Review) - JFAS Collections: Neuroma
• Superficial Peroneal Nerve to Deep Peroneal Nerve Transfer With Allograft Conduit for Neuroma in Continuity
• Nerve Transfer with Entubulated Nerve Allograft Transfers to Treat Recalcitrant Lower Extremity Neuromas
• Treatment of Recurrent Neuroma of the Interdigital Nerve by Implantation of the Proximal Nerve into Muscle in the Arch of the Foot
• Reconstruction of a Painful Post-Traumatic Medial Plantar Neuroma with a Bioabsorbable Nerve Conduit: A Case Report
• Decompression of Peripheral Nerves for Diabetic Neuropathy in the Lower Extremity
• Metatarsalgia and Morton's Disease: Comparison of Outcomes Between Open Procedure and Neurectomy Versus Percutaneous Metatarsal Osteotomies and Ligament Release with a Minimum of 2 Years of Follow-Up
• Retrospective Analysis of Neurapraxia and Axonotmesis Injuries of Select Peripheral Nerves of the Foot and Ankle and Their Conservative and Surgical Treatment (External Neurolysis and Neurectomy)