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

Lundborg, G LU ; Rosén, B LU ; Abrahamson, S O; Dahlin, L LU 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.

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organization
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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 Inc.
external identifiers
  • 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
2017-11-29 12:27:58
@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},
  keyword      = {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 Inc.},
  series       = {Journal of Hand Surgery: European Volume},
  title        = {Tubular repair of the median nerve in the human forearm. Preliminary findings},
  volume       = {19},
  year         = {1994},
}