Traumatic Injury to Peripheral Nerves

Robinson, Lawrence R.

doi:10.2490/jjrmc.46.611

Cited by 121 publications

(181 citation statements)

References 13 publications

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“…In a recent national study 3 of the NTDB, the incidence of PNIs among adult motor vehicle collision victims ranged between 0.73% and 0.98%. They have been reported 21 to occur in up to 5% of patients in a Level I trauma center, most of them in the setting of multitrauma. About half of these patients are the drivers or passengers of motor vehicles.…”

Section: Discussionmentioning

confidence: 99%

“…This pattern is consistent with prior literature associating PNIs with high-speed collisions. 7,19,21 Multilevel falls followed in incidence, with ground-level falls being the most rare. The understanding that PNIs can appear with any type of fall will make clinicians more vigilant to diagnose these often occult injuries and protect their patients from secondary complications.…”

Section: Discussionmentioning

confidence: 99%

“…PNIs are associated with considerable economic burden for society, since they frequently result in multiple restorative operations, extensive rehabilitation, and long-term disability. 5,8,16,[19][20][21] Depending on the type of injury, several operative approaches are undertaken that range from simple decompression to nerve grafting.…”

Section: Discussionmentioning

confidence: 99%

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Falls and peripheral nerve injuries: an age-dependent relationship

Bekelis

Missios

Spinner

2015

JNS

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obJect Despite the growing epidemic of falls, the true incidence of peripheral nerve injuries (PNIs) in this patient population remains largely unknown. methods The authors performed a retrospective cohort study of 839,210 fall-injured patients who were registered in the National Trauma Data Bank (NTDB) between 2009 and 2011 and fulfilled the inclusion criteria. Regression techniques were used to investigate the association of demographic and socioeconomic factors with the rate of PNIs in this patient population. The association of age with the incidence of PNIs was also investigated. results Overall, 3151 fall-injured patients (mean age 39.1 years, 33.3% females) sustained a PNI (0.4% of all falls). The respective incidence of PNIs was 2.7 per 1000 patients for ground-level falls, 4.9 per 1000 patients for multilevel falls, and 4.5 per 1000 patients for falls involving force. This demonstrated a rapid increase in the first 2 decades of life, with a maximum rate of 1.1% of all falls in the 3rd decade, followed by a slower decline and eventual plateau in the 7th decade. In a multivariable analysis, the association of PNIs with age followed a similar pattern with patients 20-29 years of age, demonstrating the highest association (OR 2.34 [95% CI 2.0-2.74] in comparison with the first decade of life). Falls involving force (OR 1.25 [95% CI 1.14-1.37] in comparison with multilevel falls) were associated with a higher incidence of PNIs. On the contrary, female sex ) and ground-level falls ) were associated with a lower rate of PNIs. coNclusioNs Utilizing a comprehensive national database, the authors demonstrated that PNIs are more common than previously described in fall-injured patients and identified their age distribution. These injuries are associated with young adults and falls of high kinetic energy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Falls and peripheral nerve injuries: an age-dependent relationship

Bekelis

Missios

Spinner

2015

JNS

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“…Peripheral nerve injuries occur in as many as 3 % of all trauma patients and, also, as the result of surgery, either in oncologic resection or inadvertently [41]. Despite four decades of research on nerve regeneration, clinical outcomes following peripheral nerve repair are unpredictable and often unsatisfactory [57].…”

Section: Introductionmentioning

confidence: 99%

Overcoming Short Gaps in Peripheral Nerve Repair: Conduits and Human Acellular Nerve Allograft

Isaacs

Browne

2014

Hand (New York, N,Y.)

109

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Nerve conduits and acellular nerve allograft offer efficient and convenient tools for overcoming unexpected gaps during nerve repair. Both techniques offer guidance for migrating Schwann cells and axonal regeneration though utilizing very different scaffolds. The substantially greater amount of animal and clinical data published on nerve conduits is marked by wide discrepancies in results that may be partly explained by a still poorly defined critical repair gap and diameter size. The available information on acellular allografts appears more consistently positive though this tool is also hampered by a longer but also limited critical length. This article reviews the current relative literature and examines pertinent parameters for application of both acellular allograft and nerve conduits in overcoming short nerve gaps.

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“…When the injury occurs by crushing or compression and the continuity of the nerve is preserved, the prognosis is favorable 1 . However, due to Wallerian degeneration that begins immediately after the injury 3 , nerve regeneration occurs slowly and complete maturation of the regenerated fibers is rarely achieved 4 . While the muscle remains denervated, the cross-sectional area of its fibers decreases, causing concomitant increases in conjunctive tissue, especially in the perimysium 5 , which characterizes atrophy and loss of elasticity in the muscle.…”

Section: Introductionmentioning

confidence: 99%

Exercício imediato versus tardio na regeneração do nervo isquiático de ratos após axoniotmese: análise histomorfométrica e funcional

Takeda

et al. 2008

Rev. bras. fisioter.

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Traumatic Injury to Peripheral Nerves

Cited by 121 publications

References 13 publications

Falls and peripheral nerve injuries: an age-dependent relationship

Falls and peripheral nerve injuries: an age-dependent relationship

Overcoming Short Gaps in Peripheral Nerve Repair: Conduits and Human Acellular Nerve Allograft

Exercício imediato versus tardio na regeneração do nervo isquiático de ratos após axoniotmese: análise histomorfométrica e funcional

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