Nerve injuries of the upper extremity and hand

• A nerve injury has a profound impact on the patient's daily life due to the impaired sensory and motor function, impaired dexterity, sensitivity to cold as well as eventual pain problems. To perform an appropriate treatment of nerve injuries, a correct diagnosis must be made, where the injury is properly classified, leading to an optimal surgical approach and technique, where timing of surgery is also important for the outcome. Knowledge about the nerve regeneration process, where delicate processes occur in neurons, non-neuronal cells (i. e. Schwann cells) and other cells in the peripheral as well as the central nervous systems, is crucial for the treating surgeon. The surgical decision to perform nerve repair and/or reconstruction depends on the type of injury, the condition of the wound as well as the vascularity of the wound. To reconnect injured nerve ends, various techniques can be used, which include both epineurial and fascicular nerve repair, and if a nerve defect is caused by the injury, a nerve reconstruction procedure has to be performed, including bridging the defect using nerve-grafts or nerve transfer techniques. The patients must be evaluated properly and regularly after the surgical procedure and appropriate rehabilitation programmes are useful to improve the final outcome.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

nerve injury

nerve repair

nerve reconstruction

nerve transfer

nerve regeneration

neuroma

LLON AL

1974

PLASTIC AND RECONSTRUCTIVE SURGERY

V53

P297 hlin LB

2001

NEUROSURGERY CLINICS OF NORTH AMERICA

V12

P341 rnebo S

2012

Hand Surgery (A volume in the Plastic Surgery 6-Volume Set: Expert Consult Premium)

orsen Frida

2012

JOURNAL OF PLASTIC SURGERY AND HAND SURGERY

V46

P184

Nerve injury

Nerve reconstruction

Nerve regeneration

Nerve repair

Nerve transfer

Neuroma

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