Peripheral nerve injuries: A retrospective survey of 456 cases

Abstract

This 16-year retrospective study reports the data on 456 consecutive patients with 557 peripheral nerve injuries (PNIs) between 1989 and 2004. Most patients were men (74%) and the mean age was 32.4 years. In 83% of cases the PNIs were isolated; combined lesions most commonly involved the ulnar and median nerves. Upper-limb PNIs occurred in 73.5% of cases; the ulnar nerve was most often injured, either singly or in combination. Vehicle accidents affecting the brachial plexus or radial, sciatic, facial, and peroneal nerves were the most common cause of injury. Penetrating trauma commonly affected the ulnar and median nerves; falls and gunshot wounds frequently affected the ulnar, radial, and median nerves; and sports injuries, particularly soccer, affected mainly the peroneal and tibial nerves. More than half of the brachial plexus lesions after vehicular accidents were from motorcycle crashes.

Reflex‐based grasping, skilled forelimb reaching, and electrodiagnostic evaluation for comprehensive analysis of functional recovery—The 7‐mm rat median nerve gap repair model revisited

“…Peripheral nerve injuries (PNIs) are a major cause of morbidity, especially as in most cases the upper limbs are affected (Deumens et al., 2010; Kouyoumdjian, 2006). In 10.2% of all hand injuries, a peripheral nerve reconstruction is required, whereas in two third of the cases, the digital nerves are damaged (Renner, Cserkuti, & Hankiss, 2004).…”

Comparative study between standard and inside-out vein graft techniques on sciatic nerve repair of rats. Muscular and functional analysis

“…Acute peripheral nerve injuries are one of the complications of trauma affecting the extremities, and is present in 3-10% of patients, depending on the mechanism of trauma 3 . Common causes of peripheral nerve injuries are projectiles of firearms, falls, trauma, injury by penetrating objects and mainly by car accidents 4 , and approximately $150 billion dollars are spent annually in health-care with nerve injuries in the United States 3 .…”

“…Acute peripheral nerve injuries are one of the complications of trauma affecting the extremities, and is present in 3-10% of patients, depending on the mechanism of trauma 3 . Common causes of peripheral nerve injuries are projectiles of firearms, falls, trauma, injury by penetrating objects and mainly by car accidents 4 , and approximately $150 billion dollars are spent annually in health-care with nerve injuries in the United States 3 .According to Seddon 5 , neurotmesis (total nerve rupture) is the most severe injury to the peripheral nerve, and in this type of trauma surgical repair is essential for the rehabilitation of function.The gold standard treatment for peripheral nerve repair is the autologous nerve graft with the aid of a surgical microscope. Although this technique has a favorable result, it presents as main negative factors: the limitation of calibers, lengths and areas of donor nerves and secondary morbidity [6][7][8] .…”

Efeito da associação da laserterapia com a natação no reparo morfológico do nervo isquiático e na recuperação funcional de ratos submetidos à axonotmese

“…The most common causes of peripheral nerve injury are firearm projectiles, falls and penetrative or contusion trauma, however, the main causative factor are automobile accidents 3 .…”