Traumatic Peripheral Nerve Injuries: Demographic and Electrophysiologic Findings of 802 Patients from a Developing Country

Uzun, Nurten; Tanrıverdi, Taner; Savrun, Feray Karaali; Kızıltan, Meral E.; Şahin, Rahşan; Hanımoğlu, Hakan; Hancı, Murat

doi:10.1097/01.cnd.0000203641.38887.63

Cited by 34 publications

(27 citation statements)

References 11 publications

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“…Regeneration speed and subsequent functional recovery depend on the extension, nature, and degree of injury [3, 4]. In many cases morphological and functional recovery are not fully achieved [2], causing limitations in daily life and work activities [5], and may lead to early retirement due to functional disability. …”

Section: Introductionmentioning

confidence: 99%

Swimming Exercise in the Acute or Late Phase after Sciatic Nerve Crush Accelerates Nerve Regeneration

et al. 2011

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There is no consensus about the best time to start exercise after peripheral nerve injury. We evaluated the morphological and functional characteristics of the sciatic nerves of rats that began to swim immediately after crush nerve injury (CS1), those that began to swim 14 days after injury (CS14), injured rats not submitted to swimming (C), and uninjured rats submitted to swimming (S). After 30 days the number of axons in CS1 and CS14 was lower than in C (P < 0.01). The diameter of axons and nerve fibers was larger in CS1 (P < 0.01) and CS14 (P < 0.05) than in C, and myelin sheath thickness was lower in all crushed groups (P < 0.05). There was no functional difference between CS1 and CS14 (P > 0.05). Swimming exercise applied during the acute or late phase of nerve injury accelerated nerve regeneration and synaptic elimination after axonotmesis, suggesting that exercise may be initiated immediately after injury.

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Section: Introductionmentioning

confidence: 99%

Swimming Exercise in the Acute or Late Phase after Sciatic Nerve Crush Accelerates Nerve Regeneration

et al. 2011

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“…The prognosis of peripheral nerve injuries depends on various factors such as the patient age, type of injury, severity of trauma, delay between the time of injury and repair, presence of additional organ injury and infection, affected nerve, distance between injury level and the affected organ, status of the anatomical integrity of the injured nerve, length of the defect between the proximal and distal ends and the experience and techniques of the surgeon (3,29,(30)(31)(32). Prognoses are better transection were associated with good recovery, whereas, neuroma-in-continuity or complete irregular transections were related to moderate or poor outcomes (8).…”

Section: █ Discussionmentioning

confidence: 99%

The outcomes of late term surgical treatment of penetrating peripheral nerve injuries

Gezercan¹,

Menekşe²,

Ökten³

et al. 2015

Turkish Neurosurgery

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In previous studies, the incidence of PNI has been reported to be 13 to 23 per 100 000 individuals per year. PNIs have been estimated to affect between 1.64% and 2.8% of all trauma patients (24,31). PNI is a common problem, especially in young adult men, and may cause serious disability in this productive age group unless the injured nerve is repaired (1, 22, 24). █ INTRODUCTIONPeripheral nerve injury (PNI) is still a significant cause of morbidity and disability throughout the world. Physical trauma, including traffic accidents and injuries due to sharp and penetrating objects such as broken glass, gunshots, falls and fractures, is the most common cause of PNI AIm: The aim of this retrospective study was to evaluate the follow-up results of patients who received late-term surgical treatment for peripheral nerve lesions caused by penetrating injuries. mATERIAl and mEThODS:The study included 25 patients who underwent surgery for peripheral nerve injuries in our clinic between 2007 and 2013. The patients were evaluated with respect to age, gender, etiology of the trauma, the affected nerve, clinical examinations, electrophysiological findings, surgical techniques and functional outcomes. RESUlTS:The study included 30 nerves of 25 patients (19 male, 6 female; mean age 30.1 years). The mean time between the initial injury and admission to our clinic was 11.5 months (range, 3 to 30 months). Cuts caused by glass were the most common cause of injury (68.5%). The most commonly injured nerves in our patients were the median nerve (43.4%) and ulnar nerve (26.6%). external neurolysis and decompression were performed in eleven patients, epineurotomy and internal neurolysis were performed in eight patients, epineural repair was performed in fourteen patients, fascicular repair was performed in three patients, and interfascicular anastomosis using sural nerve grafting was performed in five patients. Postoperative motor strength and electrophysiological analyses showed significant improvements. Better outcomes were obtained in cases with median nerve injuries rather than other nerve injuries. Additionally, patients undergoing external neurolysis and decompression exhibited better outcomes than those undergoing other surgical approaches. CONClUSION:Although surgical treatment is recommended as early as possible for peripheral nerve injuries, late-term surgical treatments may provide positive outcomes.

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“…Periferik sinir yaralanmalarında etyolojik neden ve mekanizmalara bağlı olarak prognoz değişmektedir. [4] Prognozu etkileyen faktörler arasında hasarlanmanın tipi, yaralanmanın şiddeti, hasar seviyesi ve hastanın yaşı sayılabilir. [5] Periferik sinirlerin ateşli silahla olan yaralanmalarının cerrahi tedavisi halen tartışmalıdır.…”

Section: Sonuçunclassified

Our Surgical Treatment Outcomes In Peripheral Nerve Lesions Depending On Gunshot Injuries: Assessment Of 28 Cases

Topuz¹,

Eroğlu²,

Atabey³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Traumatic Peripheral Nerve Injuries: Demographic and Electrophysiologic Findings of 802 Patients from a Developing Country

Abstract: If preventive measures are taken into consideration satisfactorily, the incidence of disabling peripheral nerve injury may decrease, as such injuries are often treatable.

Cited by 34 publications

References 11 publications

Swimming Exercise in the Acute or Late Phase after Sciatic Nerve Crush Accelerates Nerve Regeneration

Swimming Exercise in the Acute or Late Phase after Sciatic Nerve Crush Accelerates Nerve Regeneration

The outcomes of late term surgical treatment of penetrating peripheral nerve injuries

Our Surgical Treatment Outcomes In Peripheral Nerve Lesions Depending On Gunshot Injuries: Assessment Of 28 Cases

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