Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Tubular repair of the median nerve in the human forearm. Preliminary findings

Lundborg, G LU ; Rosén, B LU ; Abrahamson, S O ; Dahlin, L LU orcid and Danielsen, N LU (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.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
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 &lt; 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}},
}