Sunday, October 25, 2009

Iatrogenic nerve palsy

18 year old inability to shrug shoulder after surgery in the neck



Scar showing previous surgery

Video of disability


Iatrogenic spinal accessory nerve palsy


Surgical exploration

Surgical findings at exploration


Complete division of spinal accessory nerve and scarring


Scar excised and XI nerve grafted with sural nerve graft.

Results after surgery – 10 weeks  post op

Article on SAN Palsy

Assessing Surgical Skills


How do you assess the competency of a surgeon skills transparently and objectively that is safe and reliable?


surgeonsworkingon ahand2 b&w

Hand Surgery - An Independent Speciality


Is the UK ready for hand surgery as an independent speciality?

There are a significant number of surgeons who believe that  this should not be so?

why not?


surgeonsworkingon ahand