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Age does not affect the outcome after digital nerve repair in children – A retrospective long term follow up

Rosberg, Hans Eric LU ; Hazer Rosberg, Derya Burcu; Birkisson, Illugi LU and Dahlin, Lars B. LU (2017) In Journal of Orthopaedic Science 22(5). p.915-918
Abstract

Background Digital nerve injuries in children are not common, but they are considered to have an excellent prognosis, compared to adults, after nerve injury and repair. In studies including both children and adults age have been found to have an effect on outcome after nerve repair. Methods We investigated in a retrospective follow up study the long-time result after digital nerve injury and repair in children, 1–16 years of age (n = 38), and evaluate if age influences outcome. A group with young children, 1–10 years of age (n = 18), was compared with a group with older children, 11–16 years of age (n = 20). A clinical evaluation to evaluate sensation and grip strength was performed and questionnaires were used [Disability of the Arm,... (More)

Background Digital nerve injuries in children are not common, but they are considered to have an excellent prognosis, compared to adults, after nerve injury and repair. In studies including both children and adults age have been found to have an effect on outcome after nerve repair. Methods We investigated in a retrospective follow up study the long-time result after digital nerve injury and repair in children, 1–16 years of age (n = 38), and evaluate if age influences outcome. A group with young children, 1–10 years of age (n = 18), was compared with a group with older children, 11–16 years of age (n = 20). A clinical evaluation to evaluate sensation and grip strength was performed and questionnaires were used [Disability of the Arm, Shoulder and Hand (DASH), Cold Sensitivity Severity Scale (CISS), VAS-function and VAS-cosmetic] in median 40 months (range 12–131 months) after the injury and repair. Results All patient regained normal sensation. No correlations between age and monofilaments were found. Twenty children (52%) reported some problems with cold intolerance (i.e. CISS), but no other abnormal disability was found (i.e. DASH, VAS); again with no differences between the two groups. Conclusions Children have an excellent long-term recovery after a digital nerve repair and without any influence of age.

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organization
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Contribution to journal
publication status
published
subject
keywords
Retrospective, children , digital nerve repair
in
Journal of Orthopaedic Science
volume
22
issue
5
pages
4 pages
publisher
Springer
external identifiers
  • scopus:85029042077
  • pmid:28735880
  • wos:000411325100021
ISSN
0949-2658
DOI
10.1016/j.jos.2017.06.012
language
English
LU publication?
yes
id
10f603b1-f0aa-4083-8b96-85116327b37f
date added to LUP
2017-10-09 12:06:11
date last changed
2018-01-16 13:21:54
@article{10f603b1-f0aa-4083-8b96-85116327b37f,
  abstract     = {<p>Background Digital nerve injuries in children are not common, but they are considered to have an excellent prognosis, compared to adults, after nerve injury and repair. In studies including both children and adults age have been found to have an effect on outcome after nerve repair. Methods We investigated in a retrospective follow up study the long-time result after digital nerve injury and repair in children, 1–16 years of age (n = 38), and evaluate if age influences outcome. A group with young children, 1–10 years of age (n = 18), was compared with a group with older children, 11–16 years of age (n = 20). A clinical evaluation to evaluate sensation and grip strength was performed and questionnaires were used [Disability of the Arm, Shoulder and Hand (DASH), Cold Sensitivity Severity Scale (CISS), VAS-function and VAS-cosmetic] in median 40 months (range 12–131 months) after the injury and repair. Results All patient regained normal sensation. No correlations between age and monofilaments were found. Twenty children (52%) reported some problems with cold intolerance (i.e. CISS), but no other abnormal disability was found (i.e. DASH, VAS); again with no differences between the two groups. Conclusions Children have an excellent long-term recovery after a digital nerve repair and without any influence of age.</p>},
  author       = {Rosberg, Hans Eric and Hazer Rosberg, Derya Burcu and Birkisson, Illugi and Dahlin, Lars B.},
  issn         = {0949-2658},
  keyword      = {Retrospective,children ,digital nerve repair},
  language     = {eng},
  month        = {09},
  number       = {5},
  pages        = {915--918},
  publisher    = {Springer},
  series       = {Journal of Orthopaedic Science},
  title        = {Age does not affect the outcome after digital nerve repair in children – A retrospective long term follow up},
  url          = {http://dx.doi.org/10.1016/j.jos.2017.06.012},
  volume       = {22},
  year         = {2017},
}