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Nerve injuries of the upper extremity and hand

Dahlin, Lars B. LU and Wiberg, Mikael (2017) In EFORT open reviews 2(5). p.158-170
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Nerve injury, Nerve reconstruction, Nerve regeneration, Nerve repair, Nerve transfer, Neuroma
in
EFORT open reviews
volume
2
issue
5
pages
13 pages
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • scopus:85051424252
ISSN
2396-7544
DOI
10.1302/2058-5241.2.160071
language
English
LU publication?
yes
id
51f5f46b-c3c3-459e-b8bc-ed3de1420f76
date added to LUP
2019-06-17 14:29:56
date last changed
2019-10-15 07:07:55
@article{51f5f46b-c3c3-459e-b8bc-ed3de1420f76,
  abstract     = {<p>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.</p>},
  author       = {Dahlin, Lars B. and Wiberg, Mikael},
  issn         = {2396-7544},
  keyword      = {Nerve injury,Nerve reconstruction,Nerve regeneration,Nerve repair,Nerve transfer,Neuroma},
  language     = {eng},
  month        = {05},
  number       = {5},
  pages        = {158--170},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {EFORT open reviews},
  title        = {Nerve injuries of the upper extremity and hand},
  url          = {http://dx.doi.org/10.1302/2058-5241.2.160071},
  volume       = {2},
  year         = {2017},
}