دورية أكاديمية
Evaluation of the improvement of sensibility after primary median nerve repair at the wrist.
| العنوان: | Evaluation of the improvement of sensibility after primary median nerve repair at the wrist. |
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| المؤلفون: | Polatkan S; Istanbul Hand Surgery and Microsurgery Centre, Turkey., Orhun E, Polatkan O, Nuzumlali E, Bayri O |
| المصدر: | Microsurgery [Microsurgery] 1998; Vol. 18 (3), pp. 192-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8309230 Publication Model: Print Cited Medium: Print ISSN: 0738-1085 (Print) Linking ISSN: 07381085 NLM ISO Abbreviation: Microsurgery Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Liss Original Publication: New York : Alan R. Liss, [c1983- |
| مواضيع طبية MeSH: | Sensation*, Median Nerve/*injuries , Median Nerve/*surgery , Wrist Injuries/*physiopathology , Wrist Injuries/*surgery, Adolescent ; Adult ; Child ; Child, Preschool ; Humans ; Treatment Outcome |
| مستخلص: | In the Istanbul Hand Surgery and Microsurgery Centre, between 1991-1996, 28 out of 54 patients who had clean-cut median nerve laceration at the wrist level were evaluated in a detailed manner regarding the improvement of sensibility following primary repair. Semmes-Weinstein monofilament and vibration tests form the group of threshold tests, and static and dynamic two-point discrimination tests and the Moberg pick-up test form the group of functional tests which were applied to the patients. Follow-up was from 1 to 5 years. Moreover, subjective findings such as cold intolerance, pain, and paraesthesia were also evaluated. All the results obtained were evaluated in relation to the SO-S4 sensibility improvement criterion which Waylett-Rendall recommended. The following results were obtained: S4 in 35.7% of the patients, S3+ in 28.5%, S3 in 14.2%, S2+ in 7.14%, S2 in 10.7%, and S1 in 3.5%. In our opinion the most important reason for the high rate of success was the fact that we worked with a highly selective group of patients and the fact that there was a high rate of young patients in this group (21.4% of them were under the age of 15). It was observed that there was a significant correlation between age and functional sensibility improvement (P = 0.04). Moreover, when we observed the relation between age and Semmes-Weinstein monofilament, static two-point discrimination, and dynamic two-point discrimination tests, it was seen that age had a significant correlation with each of the parameters (r = 0.61, P = 0.001; r = 0.58, P = 0.002; r = 0.57, P = 0.002). There was a clear decline in the intensity of the paraesthesia in S3+ and S4 group (X2 = 4.7, P = 0.02) and in these groups the period of Moberg pick-up test was meaningfully short (P < 0.05). |
| تواريخ الأحداث: | Date Created: 19980904 Date Completed: 19981113 Latest Revision: 20190921 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1002/(sici)1098-2752(1998)18:3<192::aid-micr13>3.0.co;2-t |
| PMID: | 9727934 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0738-1085 |
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| DOI: | 10.1002/(sici)1098-2752(1998)18:3<192::aid-micr13>3.0.co;2-t |