دورية أكاديمية
Surgical management and outcomes in patients with median nerve lesions.
| العنوان: | Surgical management and outcomes in patients with median nerve lesions. |
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| المؤلفون: | Kim DH; Department of Neurosurgery, Stanford University Medical Center, California 94305-5327, USA. neurokim@stanford.edu, Kam AC, Chandika P, Tiel RL, Kline DG |
| المصدر: | Journal of neurosurgery [J Neurosurg] 2001 Oct; Vol. 95 (4), pp. 584-94. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 0253357 Publication Model: Print Cited Medium: Print ISSN: 0022-3085 (Print) Linking ISSN: 00223085 NLM ISO Abbreviation: J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Charlottesville, VA : American Association of Neurological Surgeons Original Publication: Chicago [etc.] |
| مواضيع طبية MeSH: | Median Nerve/*surgery , Peripheral Nervous System Diseases/*surgery, Adolescent ; Adult ; Arm/innervation ; Carpal Tunnel Syndrome/surgery ; Elbow/innervation ; Forearm/innervation ; Humans ; Median Nerve/injuries ; Middle Aged ; Nerve Sheath Neoplasms/surgery ; Nerve Tissue/transplantation ; Peripheral Nervous System Neoplasms/surgery ; Reoperation ; Retrospective Studies ; Sutures ; Treatment Outcome ; Wounds and Injuries/surgery ; Wrist/innervation |
| مستخلص: | Object: One hundred sixty-seven of 250 patients with median nerve (MN) lesions, excluding carpal tunnel syndrome and nerve sheath tumors, at the levels of the arm, elbow, forearm, and wrist, underwent surgical treatment at Louisiana State University Health Sciences over a 30-year period. The most common causes of MN injuries were laceration, fracture-associated stretch and contusion, gunshot wound, compression, and injection injuries. In this study, surgically treated patients were followed and evaluated retrospectively for favorable functional outcomes. Methods: Lesions not in continuity required primary or secondary end-to-end suture or graft repairs. With the aid of direct intraoperative recording of nerve action potentials (NAPs), MN injuries in which the lesion was in continuity underwent external or internal neurolysis, or resection of the lesion, followed by end-to-end suture or graft repair. A minimum of 12 months follow-up review (mean 18 months) was available in 85% of the surgically treated patients. For lesions in continuity, a functional recovery of Grade 3 or better was seen in 72 (95%) of 76 patients who underwent neurolysis, 18 (86%) of 21 who received suture repair, and 21 (75%) of 28 who received graft repair. In lesions not in continuity, favorable results (Grade > or = 3) were seen in 10 (91%) of 11 patients who received primary suture repair, seven (78%) of nine who received secondary suture repair, and 15 (68%) of 22 who received graft repair. Conclusions: Surgical intervention for MN injuries with complete or severe deficits achieved favorable outcomes. |
| التعليقات: | Erratum in: J Neurosurg 2002 Jan;96(1):162. |
| تواريخ الأحداث: | Date Created: 20011013 Date Completed: 20011025 Latest Revision: 20220408 |
| رمز التحديث: | 20231215 |
| DOI: | 10.3171/jns.2001.95.4.0584 |
| PMID: | 11596952 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0022-3085 |
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| DOI: | 10.3171/jns.2001.95.4.0584 |