Etiology and mechanisms of ulnar and median forearm nerve injuries
Bacgraund/Aim. Most often injuries of brachial plexus and its branches disable the injured from using their arms and/or hands. The aim of this study was to investigate the etiology and mechanisms of median and ulnar forearm nerves injuries. Methods. This retrospective cohort study included...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500106P.pdf |
| Summary: | Bacgraund/Aim. Most often injuries of brachial plexus and its branches
disable the injured from using their arms and/or hands. The aim of this study
was to investigate the etiology and mechanisms of median and ulnar forearm
nerves injuries. Methods. This retrospective cohort study included 99
patients surgically treated in the Clinic of Neurosurgery, Clinical Center of
Serbia, from January 1st, 2000 to December 31st, 2010. All data are obtained
from the patients' histories. Results. The majority of the injured patients
were male, 81 (81.8%), while only 18 (18.2%) were females, both mainly with
nerve injuries of the distal forearm - 75 (75.6%). Two injury mechanisms were
present, transection in 85 patients and traction and contusion in 14 of the
patients. The most frequent etiological factor of nerve injuries was cutting,
in 61 of the patients. Nerve injuries are often associated with other
injuries. In the studied patients there were 22 vascular injuries, 33 muscle
and tendon injuries and 20 bone fractures. Conclusion. The majority of those
patients with peripheral nerve injuries are represented in the working age
population, which is a major socioeconomic problem. In our study 66 out of 99
patients were between 17 and 40 years old, in the most productive age. The
fact that the majority of patients had nerve injuries of the distal forearm
and that they are operated within the first 6 months after injury, promises
them good functional prognosis. |
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| ISSN: | 0042-8450 2406-0720 |