Median, Ulnar, and Combined Median-Ulnar Nerve Injuries: Functional Outcome and Return to Productivity

Jaquet, Jean-Bart; Luijsterburg, Antonius J.M.; Kalmijn, Sandra; Kuypers, Paul D.L.; Hofman, Albert; Hovius, Steven E.R.

doi:10.1097/00005373-200110000-00011

Cited by 180 publications

(140 citation statements)

References 23 publications

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“…Most of the series report results of only 20% of M4 or M5 when the repair is performed in a position above the level of the elbow, irrespective of the use of grafts [4][5][6][7] . Given the limited results obtained with the nerve repair, it has been recommended that distal tendon transfers should be offered as the first-choice surgical intervention for such cases 8,9 , discouraging the nerve surgery.…”

mentioning

confidence: 99%

Distal anterior interosseous nerve transfer to the deep ulnar nerve and end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve for treatment of high ulnar nerve injuries: experience in five cases

Flores

2011

Arq. Neuro-Psiquiatr.

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OBJECTIVE: To demonstrate the results of a double nerve transfer at the level of the hand for recovery of the motor and sensory function of the hand in cases of high ulnar nerve injuries. METHOD: Five patients underwent a transfer of the distal branch of the anterior interosseous nerve to the deep ulnar nerve, and an end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve. RESULTS: Two patients recovered strength M3 and three cases were graded as M4; recovery of protective sensation (S3+ in three patients and S4 in two) was observed in the fourth and fifth fingers, and at the hypothenar region. The monofilament test showed values of 3.61 or less in all cases and the two-point discrimination test demonstrated values of 7 mm in three cases and 5 mm in two. CONCLUSION: This technique of double nerve transfer is effective for motor and sensory recovery of the distal ulnar-innervated side of the hand.

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mentioning

confidence: 99%

Distal anterior interosseous nerve transfer to the deep ulnar nerve and end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve for treatment of high ulnar nerve injuries: experience in five cases

Flores

2011

Arq. Neuro-Psiquiatr.

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“…Saadat and colleagues (21) reported the forearm to be the most frequently involved area, followed by the wrist and hand. PNI at the forearm level can result in substantial functional loss and have major social consequences (22). Superficial location of the nerves in the forearm, wrist, and hand as well as their exposure in daily work with sharp cutting objects could be a reason for higher rate of PNI in these regions (21).…”

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confidence: 99%

Cervical and Upper Limb Peripheral Nerve Injuries in Adults: Electrodiagnostic Studies and Symptoms

Eftekharsadat¹,

Babaei-Ghazani²,

Samadirad³

et al. 2017

Trauma Mon

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Background: Peripheral nerve injury (PNI), due to upper extremity and cervical trauma could impair hand function, as well as affect quality of life at work and in society. Diagnosis and treatment of these patients is important Objectives: In this study we aim to evaluate clinical symptoms and electrodiagnostic findings in traumatic upper extremity PNI. Methods: A total of 106 traumatic patients with any clinical doubt of upper extremity peripheral nerve injuries were recruited and completed a physical examination. In addition, an electrodiagnostic study was performed to investigate detailed pattern of nerve lesions.

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“…Clínicamente, entre las lesiones nerviosas compresivas la neuropraxia es la más leve, existiendo un bloqueo fisiológico de conducción nerviosa sin interrupción axonal. Morfológicamente se puede observar desmielinización segmentaria, sin degeneración Walleriana (Seddon & Herbert, 1975), y desde el punto de vista clínico los pacientes pueden presentar afecciones motoras y sensitivas resultando en pérdida funcional importante y disminución de la calidad de vida (Jaquet et al, 2001). …”

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Análisis Comparativo del Número de Neurofilamentos en Nervios Isquiáticos de Rata Sometidos a Neuropraxia Tratadas con Láser de Baja Intensidad y Ultrasonido Terapéutico

et al. 2014

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MATAMALA, F.; CORNEJO, R.; PAREDES, M.; FARFÁN, E.; GARRIDO, O. S. & ALVES, N.Análisis comparativo del número de neurofilamentos en nervios isquiáticos de rata sometidos a neuropraxia tratadas con láser de baja intensidad y ultrasonido terapéutico. Int. J. Morphol., 32(1):369-374, 2014. RESUMEN:Es habitual que tras una compresión nerviosa se aplique terapia, ya sea, a través de laser de baja intensidad (LBI) o ultrasonido (US). El objetivo de este trabajo fue determinar la efectividad de dichos tratamientos para reparar el citoesqueleto neuronal evaluando la variación en el número de neurofilamentos. Se realizó un diseño experimental, en el cual se utilizaron 30 ratas que fueron separadas en 6 grupos: 1-control sano; 2-control lesionado; 3-irradiado con LBI 2J/cm 2 ; 4-irradiado con LBI 10 J/cm 2 ; 5-irradiado con US 0,5W/cm 2 y 6-irradiado con US 1W/cm 2 . Con excepción del grupo 1 los especímenes fueron anestesiados y se les realizó la compresión del nervio isquiático derecho utilizando una presión de 40N durante 45 segundos. Veinticuatro horas después de la compresión se inició la irradiación con LBI y US, según protocolo. En nuestra investigación constatamos que el incremento en el número de neurofilamentos se relacionó con la dosis aplicada de LBI y US. El valor medio de neurofilamentos/0,25 mm 2 obtenidos en cada grupo fue: 1 -128; 2 -100; 3 -156; 4 -140; 5 -100; 6 -148. La aplicación de LBI de y de US terapéutico aumenta el número de neurofilamentos en nervios isquiáticos de rata sometidos a neuropraxia, siendo el LBI más eficaz en comparación al US. Se agrega que estas terapias para inducir la regeneración del nervio lesionado se relacionan al tipo de protocolo utilizado, lo que demuestra la necesidad de establecer la adecuada dosis de irradiación con el propósito de obtener la mejor respuesta terapéutica.PALABRAS CLAVE: Nervio isquiático; Compresión nerviosa; Neurofilamentos; Terapia por láser de baja intensidad; Terapia por ultrasonido.

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Median, Ulnar, and Combined Median-Ulnar Nerve Injuries: Functional Outcome and Return to Productivity

Abstract: It may be concluded that peripheral nerve injuries at the forearm level can result in substantial functional loss and have major social consequences. This study identified factors influencing return to work that can be used to optimize postoperative treatment strategy.

Cited by 180 publications

References 23 publications

Distal anterior interosseous nerve transfer to the deep ulnar nerve and end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve for treatment of high ulnar nerve injuries: experience in five cases

Distal anterior interosseous nerve transfer to the deep ulnar nerve and end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve for treatment of high ulnar nerve injuries: experience in five cases

Cervical and Upper Limb Peripheral Nerve Injuries in Adults: Electrodiagnostic Studies and Symptoms

Análisis Comparativo del Número de Neurofilamentos en Nervios Isquiáticos de Rata Sometidos a Neuropraxia Tratadas con Láser de Baja Intensidad y Ultrasonido Terapéutico

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