Management of Ulnar Nerve Injuries

Woo, Alice; Bakri, Karim; Moran, Steven L.

doi:10.1016/j.jhsa.2014.04.038

“…Woo et al [2] studied the mechanisms of injury in order of frequency including laceration, stretch and contusion. Kim et al [15] found the most common mechanism was laceration.…”

Section: Injury At the Wrist Levelmentioning

confidence: 99%

“…Ulnar nerve injuries can bring about paresthesia, dysesthesia, and muscle weakness in the injured hand. Ulnar nerve injury was the most frequent significant upper extremity peripheral nerve injury resulting in hospital admission, compared with median, radial, and brachial plexus injuries [2].…”

Section: Introductionmentioning

confidence: 98%

Utility of the Repeatable Battery for the Assessment of Neuropsychological Status in Focal Epilepsy Patients in an Arab Cohort

AlJarrah¹

2015

JNSK

0

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Background: This study was embraced to examine surgical outcomes for ulnar nerve repairs, so as to help for the optimal management of these lesions. Methods:We identified 116 patients with ulnar nerve injury who were referred to our brachial plexus and peripheral nerve Injury center and underwent surgery. The demographic data about age, gender, level of injury (arm, elbow or wrist level), type of injury (penetrating or blunt), mechanisms of injury, time interval between onset of injury and surgery and functional outcomes were recorded.The functional outcomes were scored, taking into account Louisiana State University Health Sciences Center criteria, prior and then afterward the surgery. Type of repair (neurolysis, direct repair, or repair using graft), and length of graft (if any) were gathered. Results:The most widely recognized mechanism of injury was laceration in all levels. In 95 cases (81%) good functional outcome (Grade 3 or better) was achieved. The best prognosis achieved in the neurolysis (86%) and direct suture (84%), respectively. Good functional outcome was achieved in 86% of patients with nerves in continuity, and 80 % of lesions not in continuity. Overall good functional outcome was achieved in 81% (95 cases) of procedures. Conclusion:Ulnar nerves injuries are inclined to recuperate if undergo proper surgical intervention, and surgical results were for the most part better for lesions in continuity. In lesions not in continuity end-to-end direct suture showed a better prognosis than nerve graft repairs. Knowing the internal topography of ulnar nerve helps to suture more precisely which in turn may be the cause for achieving the best outcome at each level.

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“…В ряде случаев уЗИ является весьма эффективным методом при диагностике синд-рома запястного канала и поражении мягких тканей кисти [59].…”

Section: ультразвуковые критерии повреждения периферического нерваunclassified

High-resolution ultrasonography in the diagnosis and management of peripheral nerve lesions (review)

Айтемиров

¹

,

Нинель

²

,

Коршунова

³

et al. 2015

Traumatology and Orthopedics of Russia

7

0

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The diagnosis of peripheral nerve lesions relies on clinical history, physical examination, electrodiagnostic studies, and radiography. The availability of these methods may be limited, and the costs can be significant. By comparison, ultrasonography is a comfortable, sensitive and economic technology, however, until now it is not widespread in Russia. An increasing number of publications have evaluated the role of ultrasonography in peripheral nerve diseases. The authors explored the clinical applicability of high-resolution ultrasonography in the preoperative and intraoperative management of peripheral nerve lesions.

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“…For better results, ulnar nerve injuries require an early repair, compared with other peripheral nerve injuries [2,7]. Repair of this nerve regularly brings about inadequate recovery with functional results that are much less than those achieved after radial nerve and median nerve repair [2,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…Repair of this nerve regularly brings about inadequate recovery with functional results that are much less than those achieved after radial nerve and median nerve repair [2,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Surgical Outcome of Ulnar Nerve Lesions: Not Always Disappointing

Emamhadi¹,

Alijani²,

Ghadarjani³

2015

JNSK

2

0

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Background: This study was embraced to examine surgical outcomes for ulnar nerve repairs, so as to help for the optimal management of these lesions. Methods:We identified 116 patients with ulnar nerve injury who were referred to our brachial plexus and peripheral nerve Injury center and underwent surgery. The demographic data about age, gender, level of injury (arm, elbow or wrist level), type of injury (penetrating or blunt), mechanisms of injury, time interval between onset of injury and surgery and functional outcomes were recorded.The functional outcomes were scored, taking into account Louisiana State University Health Sciences Center criteria, prior and then afterward the surgery. Type of repair (neurolysis, direct repair, or repair using graft), and length of graft (if any) were gathered. Results:The most widely recognized mechanism of injury was laceration in all levels. In 95 cases (81%) good functional outcome (Grade 3 or better) was achieved. The best prognosis achieved in the neurolysis (86%) and direct suture (84%), respectively. Good functional outcome was achieved in 86% of patients with nerves in continuity, and 80 % of lesions not in continuity. Overall good functional outcome was achieved in 81% (95 cases) of procedures. Conclusion:Ulnar nerves injuries are inclined to recuperate if undergo proper surgical intervention, and surgical results were for the most part better for lesions in continuity. In lesions not in continuity end-to-end direct suture showed a better prognosis than nerve graft repairs. Knowing the internal topography of ulnar nerve helps to suture more precisely which in turn may be the cause for achieving the best outcome at each level.

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Management of Ulnar Nerve Injuries

Cited by 58 publications

References 52 publications

Utility of the Repeatable Battery for the Assessment of Neuropsychological Status in Focal Epilepsy Patients in an Arab Cohort

Utility of the Repeatable Battery for the Assessment of Neuropsychological Status in Focal Epilepsy Patients in an Arab Cohort

High-resolution ultrasonography in the diagnosis and management of peripheral nerve lesions (review)

Surgical Outcome of Ulnar Nerve Lesions: Not Always Disappointing

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