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Nerve injuries of the upper extremity and hand
Umeå University, Faculty of Medicine, Department of Integrative Medical Biology (IMB). 2 Department of Surgical and Perioperative Science, University Hospital, Umeå.
2017 (English)In: EFORT OPEN REVIEWS, ISSN 2058-5241, Vol. 2, no 5, p. 158-170Article in journal (Refereed) Published
Abstract [en]

A nerve injury has a profound impact on the patient's daily life due to the impaired sensory and motor function, impaired dexterity, sensitivity to cold as well as eventual pain problems. To perform an appropriate treatment of nerve injuries, a correct diagnosis must be made, where the injury is properly classified, leading to an optimal surgical approach and technique, where timing of surgery is also important for the outcome. Knowledge about the nerve regeneration process, where delicate processes occur in neurons, non-neuronal cells (i. e. Schwann cells) and other cells in the peripheral as well as the central nervous systems, is crucial for the treating surgeon. The surgical decision to perform nerve repair and/or reconstruction depends on the type of injury, the condition of the wound as well as the vascularity of the wound. To reconnect injured nerve ends, various techniques can be used, which include both epineurial and fascicular nerve repair, and if a nerve defect is caused by the injury, a nerve reconstruction procedure has to be performed, including bridging the defect using nerve-grafts or nerve transfer techniques. The patients must be evaluated properly and regularly after the surgical procedure and appropriate rehabilitation programmes are useful to improve the final outcome.

Place, publisher, year, edition, pages
BRITISH EDITORIAL SOC BONE & JOINT SURGERY , 2017. Vol. 2, no 5, p. 158-170
Keyword [en]
nerve injury, nerve repair, nerve reconstruction, nerve transfer, nerve regeneration, neuroma, LLON AL, 1974, PLASTIC AND RECONSTRUCTIVE SURGERY, V53, P297 hlin LB, 2001, NEUROSURGERY CLINICS OF NORTH AMERICA, V12, P341 rnebo S, 2012, Hand Surgery (A volume in the Plastic Surgery 6-Volume Set: Expert Consult Premium), orsen Frida, 2012, JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, V46, P184
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-144366DOI: 10.1302/2058-5241.2.160071ISI: 000419975400007PubMedID: 28630754OAI: oai:DiVA.org:umu-144366DiVA: diva2:1179836
Available from: 2018-02-02 Created: 2018-02-02 Last updated: 2018-02-02Bibliographically approved

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