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The sensory nerve supply of diarthrodial joints is complex and has long needed clarification. Procedures devised to denervate the painful hip or knee by severing adjacent peripheral nerves, and their articular branches have frequently proved unsuccessful or disappointing. These and other neurosurgical methods have generally been abandoned.
The author suggests in this monograph that the major sensory innervation of the hip and knee is derived from the adventitial nerve plexuses of the arteries supplying the joints and that important sensory fibers may ascend in the vicinity of or via afferent pathways in the lumbar sympathetic trunk. He has developed an
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The Surgical Relief of Pain in Arthritic Disease. The Hip and Knee Joints.. Ann Intern Med. 1968;69:186–187. doi: 10.7326/0003-4819-69-1-186_3
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Published: Ann Intern Med. 1968;69(1):186-187.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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