Predictors for return to work in patients with median and ulnar nerve injuries

Bruyns, Coen N.P.; Jaquet, Jean-Bart; Schreuders, Ton A.R.; Kalmijn, Sandra; Kuypers, Paul D.L.; Hovius, Steven E.R.

doi:10.1053/jhsu.2003.50026

Cited by 138 publications

(139 citation statements)

References 45 publications

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“…[15][16][17][18][19][20][21][22]24,25,[43][44][45][46] Outcome measures following motor nerve injury usually include manual muscle testing with the Medical Research Council (MRC) grading system, amount of weight that can be lifted, or subjective grading by the researchers on scales ranging from ''excellent'' to ''poor.'' 47 Patient functional assessment and/or pain evaluation are rarely included in outcome studies.…”

Section: Outcome Measuresmentioning

confidence: 99%

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Novak

Katz²

2010

Physiotherapy Canada

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Purpose: The purpose of this review was to present an analysis of the literature of the outcome studies reported in patients following traumatic upperextremity (UE) nerve injuries (excluding amputation), to assess the presence of an association between neuropathic pain and outcome in patients following traumatic UE nerve injuries, and to provide recommendations for inclusion of more comprehensive outcome measures by clinicians who treat these patients. Summary of Key Points: A Medline and CINAHL literature search retrieved 48 articles. This review identified very few studies of patients with peripheral nerve injury that reported neuropathic pain. When pain was reported, visual analogue or numeric rating scales were most frequently used; standardized questionnaires measuring pain or psychosocial function were rarely administered. Recent evidence shows substantial long-term disability and pain in patients following peripheral nerve injury. Recommendation: To better understand neuropathic pain in patients following peripheral nerve injury, future outcome studies should include valid, reliable measures of physical impairment, pain, disability, health-related quality of life, and psychosocial functioning.Key Words: literature review, nerve injury, neuropathic pain, outcome Novak CB, Katz J. Neuropathic pain in patients with upper-extremity nerve injury. Physiother Can. 2010;62:190-201. RÉ SUMÉObjectif : L'objectif de cette revue é tait de pré senter une analyse de la documentation portant sur les é tudes ré pertorié es concernant les patients aux prises avec des lé sions nerveuses traumatiques des membres supé rieurs (excluant l'amputation), d'é valuer la pré sence d'un lien entre la douleur né vropathique et les ré sultats attendus chez les patients à la suite de lé sions nerveuses traumatiques des membres supé rieurs et de formuler des recommandations en vue d'inclure le recours à des mesures de rendement plus complè tes par les cliniciens traitant ces patients. Ré sumé des principales é tapes : Une recherche documentaire dans Medline et dans CINAHL a permis de ré pertorier 48 articles. Cette recherche a permis de constater que parmi les patients souffrant de lé sions nerveuses pé riphé riques é tudié s, trè s peu avaient signalé des douleurs né vropathiques. Lorsque de la douleur é tait signalé e, des é chelles de mesure numé riques ou des é chelles visuelles analogues é taient utilisé es le plus fré quemment et l'on faisait rarement appel à des questionnaires normalisé s pour é valuer la douleur ou la fonction psychosociale. Des faits ré cents dé montrent qu'à la suite d'une lé sion nerveuse pé riphé rique, de nombreux patients ressentent de la douleur et souffrent d'une incapacité à long terme. Recommandation : Pour mieux comprendre la douleur né vropathique qui survient à la suite d'une lé sion nerveuse pé riphé rique, les prochaines é tudes devraient inclure des mesures valables et fiables des dé ficiences physiques, de la douleur, des incapacité s, de la qualité de vie lié e à la santé et à la fonctio...

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Section: Outcome Measuresmentioning

confidence: 99%

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Novak

Katz²

2010

Physiotherapy Canada

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“…[4] Weight discrimination test was performed by asking patients to discriminate similar-looking objects of different weights first using the non-operated hand and then using the operated hand. A total of 10 objects were used in our study, ranging from 75 to 125 g.…”

Section: öZaksar Et Al Long-term Results Of Primary Repair Of Combinmentioning

confidence: 99%

“…[4,7] Combined cuts are particularly mentioned in journals alongside isolated cuts, and it is reported that repair results badly influence motor functions. In their compilation of 130 journals, Ruijs et al reported that of a total of 638 cases of forearm nerve cuts, 138 cases (21.6%) were of combined cuts.…”

Section: Discussionmentioning

confidence: 99%

Long term results of primary repair of combined cuts of median and ulnar nerves on forearm

Ozaksar¹,

Günay

Küçük³

et al. 2017

Ulus Travma Acil Cerrahi Derg

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“…A recent study showed 59% of workers were able to return to employment at an average of 30 weeks following isolated ulnar nerve injuries. Higher educational status, compliance with therapy, distal injuries, and better postoperative grip and pinch strengths tended to be positive predictors for earlier return to work [17].…”

Section: Injury At the Wrist Levelmentioning

confidence: 89%

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

AlJarrah¹

2015

JNSK

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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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Predictors for return to work in patients with median and ulnar nerve injuries

Cited by 138 publications

References 45 publications

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Neuropathic Pain in Patients with Upper-Extremity Nerve Injury

Long term results of primary repair of combined cuts of median and ulnar nerves on forearm

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

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