The results of primary repair of peripheral nerve injury in the upper extremity are reported for 143 nerves in 120 patients, with a mean follow-up of 24 months. Normal values for static and moving two-point discrimination were established and related to the person's age. Sensory reeducation was employed routinely in the postoperative rehabilitation program. Moving two-point discrimination recovered to a better level in 61%, the same level in 38%, and a worse level in 1% than static two-point discrimination after nerve repair. Results for digital, median, ulnar, and radial nerve repairs are reported.

Purpose Slipped capital femoral epiphysis (SCFE) represents the preliminary stage of osteoarthritis. Reliable tools for outcome evaluation should be developed to prevent persisting defects. The functional outcome of SCFEpatients after growth arrest is analysed by instrumented 3D-gait analysis (GA). The results are matched to the clinical examination findings. Methods A total of 39 SCFE patients after growth arrest (18.8 years; BMI 26.5 kg/m²) with unilateral affection were included. The clinical results were classified according to Harris hip and clinical Heyman Herndon scores. 3D-GAparameters were evaluated and compared to the sound side and a group of 40 healthy adults (28.0 years; 21.9 kg/m²). The subgroup analysis was performed according to clinical results. Results The clinical examination revealed very good results. GA could detect even small alterations. Some parameters indicated sustained functional impairments: Compared to the control group patients' walking speed (p=0.022), step frequency (p<0.001) and single support of the slip side (p<0.001) decreased, while step width (p= 0.014), double support (p=0.004) and stance time of sound side increased (p=0.001). For kinematics patients, the sagittal range of motion (ROM) of pelvis (p<0.001) and the external rotation of the ankle on both sides increased (p=0.011) and sagittal ROM of hip (p=0.002) and knee flexion of slip side (p<0.001) decreased. The sagittal ROM of the ankle on the slip side decreased compared to the sound side (p=0.003). Subgroup analysis revealed a positive correlation between clinically unsatisfying results and GA parameters. Conclusions Functional impairments in SCFE-patients can be found even after growth arrest. Alterations are explained partly by the disease and partly by patients' constitution. BMI-matched controls and long-term follow-up are needed.

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