Some advances in management of peripheral nerve injury
- VernacularTitle:周围神经损伤的若干进展
- Author:
Jiakai ZHU
- Publication Type:Journal Article
- Keywords:
Peripheral nerve injury;
Brachial plexus;
Birth palsy;
Nerv e repair
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
The reports on the peripheral nerve injury in the internati onal journals in 2003 included the anatomical study on surface landmarks to loca te the thenar branch of the median nerve (Wilhelmi etc.) and management of iatro genic injury to the spinal accessory nerve (Chandawarkar etc.). Gu, Kim, and Tun g, etc. reported the nerve transfers, which were effective in repairing the uppe r brachial plexus injury. The partial bundles transfer of ulnar nerve (Oberlin s method) was one of the nerve transfer operations. The functions of both biceps and brachial muscles were reported to be repaired simultaneously for elbow flex ion reconstruction in the management of brachial plexus injury. Bertellis, etc. reported that the brachial plexus avulsion injury was repaired with nerve transf ers and nerve grafts which were directly implanted into the spinal cord and part ial recovery of shoulder and elbow movements were achieved. The incidence rate o f birth-related brachial plexus injury was 0.06% to 0.26%. 85% to 90% of the patients could spontaneously restore their function (Richter etc.), but a f ew patients who could not should be evaluated 6 months after the birth to decide whether they needed microsurgical nerve repair or not. The suitable time for op eration was reported to be 6 months to 9 months after birth. The patients must b e examined thoroughly and their follow-up information must be recorded, and the y could accept the hyperbaric oxygen therapy.
