Peripheral Nerve Injuries of the Hand in Children: A Follow-up Study of 38 Patients

Abstract

Thirty-eight children in whom a peripheral nerve injury of the hand had been repaired from 2 to 18 years earlier (mean 7.5 years) were examined. All repairs had been performed with the conventional technique with epineural sutures, and nearly all were primary neurorrhaphies. Sensory recovery was evaluated by using the two-point discrimination test (2 PD). The results were considered good if the 2 PD value was less than 6 mm and poor if this value was more than 15 mm. Of the 20 repairs of an ulnar or median nerve, or both, results were good in eight (40%), fair in 10 (50%) and poor in two (10%). Of the 18 digital nerve repairs, results were good in 14 (77.8%) and fair in four. The results in this series are better than results reported for adults series.

Sensory Recovery Outcome after Digital Nerve Repair in Relation to Different Reconstructive Techniques: Meta-Analysis and Systematic Review

“…A detailed overview concerning the selection process is shown in Figure 1. Those remaining 2,997 digital nerve repairs provided the basis for further analysis (Table 2 [3, 25, 34–48], Table 3 [8–12], Table 4 [3, 25, 36, 40, 43, 48–57], Table 5 [14, 58–64], Table 6 [36, 45, 56, 65–68], Table 7 [19, 37, 64, 69–71], and Table 8 [25, 72–77]). Some case reports, which were excluded from the meta-analysis to lower heterogeneity regarding the given sensory recovery outcomes, are nevertheless shown in Tables 2–8.…”

Intraneural Perineurioma of the Radial Nerve in a Child

“…Surgical resection with reconstruction is an especially favorable option for young patients because it is well documented that youth predisposes toward maximal functional recovery after nerve grafting. 35,36 There are many reports of remarkable recovery of function when compared with adults regardless of method of surgical repair, duration, or location of injury. [35][36][37][38][39] Despite this overall advantage when compared with adults the results of treating perineurioma affecting the radial nerve in 2 children ages 11 and 14 years, respectively, have been disappointing.…”

“…35,36 There are many reports of remarkable recovery of function when compared with adults regardless of method of surgical repair, duration, or location of injury. [35][36][37][38][39] Despite this overall advantage when compared with adults the results of treating perineurioma affecting the radial nerve in 2 children ages 11 and 14 years, respectively, have been disappointing. 5,6 In contrast to these results our patient has had good recovery of function and continues to improve.…”

Medial Elbow Mass in an 18-year-old Woman

“…Improved recovery of function in children and adolescents compared with adults, regardless of method of repair, duration, or location of injury, has been reported [3,6,[21][22][23][24]. However, contradicting evidence also has shown disappointing outcomes in adolescents who were treated with surgical resection [6,18,19].…”