دورية أكاديمية
أعرض في EDS

Lower Extremity Combat Sustained Peripheral Nerve Injury in US Military Personnel.

التفاصيل البيبلوغرافية
العنوان: Lower Extremity Combat Sustained Peripheral Nerve Injury in US Military Personnel.
المؤلفون: Eckhoff MD; Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Tex., Craft MR; Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Tex., Nicholson TC; Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Tex., Nesti LJ; Clinical and Experimental Orthopedics, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md., Dunn JC; Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Tex.
المصدر: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2021 Mar 15; Vol. 9 (3), pp. e3447. Date of Electronic Publication: 2021 Mar 15 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101622231 Publication Model: eCollection Cited Medium: Print ISSN: 2169-7574 (Print) Linking ISSN: 21697574 NLM ISO Abbreviation: Plast Reconstr Surg Glob Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia, PA] : Wolters Kluwer Health/Lippincott Williams & Wilkins, [2013]-
مستخلص: Since the civil war, combat sustained peripheral nerve injuries (CSPNI) have been documented during wartime. Warfare has evolved and current combat involves a greater severity of blast injuries secondary to increased use of improvised explosive devices. The purpose of this study was to describe CSPNI and report outcomes after evaluation and treatment. We hypothesize that a shorter time to evaluation will improve outcomes.
Methods: A database including all active duty service members who sustained a CSPNI and were treated by the PNC between 2004 and 2009 was used. Service member demographic information, injury mechanism, CSPNI description, and Medical Research Council (MRC) final motor and sensory outcomes were queried from this database.
Results: One hundred and four military service members sustained 144 PNIs. The average age was 26.7 years, and nearly all were men (98.1%). There was no correlation between Sunderland classification and age, specific PNI, injury type, or time to evaluation. Higher Sunderland classifications were found to be correlated with worse final motor (r = 0.51, P < 0.001) and final sensory (r = 0.41, P < 0.001) scores. Final motor and sensory scores were not associated with specific nerve injury, mechanism of injury, initial EMG, or surgical procedure. Shorter time to initial assessment was associated with improved final motor and sensory scores, but was not found to be statistically significant.
Conclusions: As the complexity of CSPNIs progress as combat weaponry evolves, a firm understanding of treatment factors is important. Our study demonstrates in recent conflict that military service members' initial injury severity is a key factor in expected outcome.
(Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
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تواريخ الأحداث: Date Created: 20210322 Latest Revision: 20220421
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7963502
DOI: 10.1097/GOX.0000000000003447
PMID: 33747687
قاعدة البيانات: MEDLINE
الوصف
تدمد:2169-7574
DOI:10.1097/GOX.0000000000003447