Tubular repair of the median nerve in the human forearm. Preliminary findings
(1994) In Journal of Hand Surgery: European Volume 19(3). p.273-276- Abstract
Transected median nerves in the forearm of two male patients, 12 and 21 years of age, were treated with a chamber technique leaving a 3 to 5 mm gap between the nerve ends. The nerve ends were enclosed in a silicone tube of such a dimension that would not cause compression of the nerve. Post-operative examination including sensory evaluation and assessment of muscle contraction force was carried out after 3 years. In both cases there was excellent motor recovery of the thenar muscles. Outgrowth of sensory fibres was remarkably fast, resulting ultimately in functional sensibility allowing almost normal hand function. 2PD was < or = 6 mm (12-year-old patient) and 8 to 10 mm (21-year-old patient) respectively. In one case the silicone... (More)
Transected median nerves in the forearm of two male patients, 12 and 21 years of age, were treated with a chamber technique leaving a 3 to 5 mm gap between the nerve ends. The nerve ends were enclosed in a silicone tube of such a dimension that would not cause compression of the nerve. Post-operative examination including sensory evaluation and assessment of muscle contraction force was carried out after 3 years. In both cases there was excellent motor recovery of the thenar muscles. Outgrowth of sensory fibres was remarkably fast, resulting ultimately in functional sensibility allowing almost normal hand function. 2PD was < or = 6 mm (12-year-old patient) and 8 to 10 mm (21-year-old patient) respectively. In one case the silicone tube was re-explored because of minor local discomfort 2 years after the repair. The former gap was bridged by a smooth continuous nerve-like structure of the same diameter as the adjacent nerve trunk and with no signs of neuroma formation or compression of the nerve.
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- author
- Lundborg, G LU ; Rosén, B LU ; Abrahamson, S O ; Dahlin, L LU and Danielsen, N LU
- organization
- publishing date
- 1994-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adult, Axons, Child, Follow-Up Studies, Forearm, Hand, Humans, Intubation, Male, Median Nerve, Motor Neurons, Muscle Contraction, Nerve Regeneration, Neurons, Afferent, Pressure, Sensation, Silicones, Suture Techniques, Touch, Vibration, Journal Article, Research Support, Non-U.S. Gov't
- in
- Journal of Hand Surgery: European Volume
- volume
- 19
- issue
- 3
- pages
- 4 pages
- publisher
- SAGE Publications
- external identifiers
-
- pmid:8077807
- scopus:0028291221
- ISSN
- 0266-7681
- language
- English
- LU publication?
- yes
- id
- a1bad87a-fd99-4477-86e0-5a7f44557f1c
- date added to LUP
- 2017-10-13 13:29:55
- date last changed
- 2024-01-14 07:21:00
@article{a1bad87a-fd99-4477-86e0-5a7f44557f1c, abstract = {{<p>Transected median nerves in the forearm of two male patients, 12 and 21 years of age, were treated with a chamber technique leaving a 3 to 5 mm gap between the nerve ends. The nerve ends were enclosed in a silicone tube of such a dimension that would not cause compression of the nerve. Post-operative examination including sensory evaluation and assessment of muscle contraction force was carried out after 3 years. In both cases there was excellent motor recovery of the thenar muscles. Outgrowth of sensory fibres was remarkably fast, resulting ultimately in functional sensibility allowing almost normal hand function. 2PD was < or = 6 mm (12-year-old patient) and 8 to 10 mm (21-year-old patient) respectively. In one case the silicone tube was re-explored because of minor local discomfort 2 years after the repair. The former gap was bridged by a smooth continuous nerve-like structure of the same diameter as the adjacent nerve trunk and with no signs of neuroma formation or compression of the nerve.</p>}}, author = {{Lundborg, G and Rosén, B and Abrahamson, S O and Dahlin, L and Danielsen, N}}, issn = {{0266-7681}}, keywords = {{Adult; Axons; Child; Follow-Up Studies; Forearm; Hand; Humans; Intubation; Male; Median Nerve; Motor Neurons; Muscle Contraction; Nerve Regeneration; Neurons, Afferent; Pressure; Sensation; Silicones; Suture Techniques; Touch; Vibration; Journal Article; Research Support, Non-U.S. Gov't}}, language = {{eng}}, number = {{3}}, pages = {{273--276}}, publisher = {{SAGE Publications}}, series = {{Journal of Hand Surgery: European Volume}}, title = {{Tubular repair of the median nerve in the human forearm. Preliminary findings}}, volume = {{19}}, year = {{1994}}, }