The concept of limb function recovery in traumatic injury of peripheral nerves
Purpose. To develop key principles in the treatment of traumatic injury of peripheral nerves basing on analysis of injury of peripheral nerves severity, and structural and functional condition of muscles.Materials and methods. We analyzed the results of treatment of 726 patients with inju...
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| Format: | Article |
| Language: | English |
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Romodanov Neurosurgery Institute
2016-09-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/78784 |
| _version_ | 1797348299932434432 |
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| author | Vitaliy Tsymbaliuk Sergiy Strafun Oksana Haiko Vasil Gaiovych |
| author_facet | Vitaliy Tsymbaliuk Sergiy Strafun Oksana Haiko Vasil Gaiovych |
| author_sort | Vitaliy Tsymbaliuk |
| collection | DOAJ |
| description |
Purpose. To develop key principles in the treatment of traumatic injury of peripheral nerves basing on analysis of injury of peripheral nerves severity, and structural and functional condition of muscles.Materials and methods. We analyzed the results of treatment of 726 patients with injury of peripheral nerves of the extremities. Injury of the upper extremity had 345 (47.5%) patients, with lower limb trauma 381 (52.5%) patients. Electromyography study was performed to 460 patients on “Neuroscreen” (Toenis, Germany) and “Viking Quest” (Nicollet, USA). Ultrasound of muscles was performed to 185 patients on HDI 3500 device and HD 11 XE (Philips) with a multifrequency linear transducer (5–12 MHz).Results. In 70.2 % of cases, nerve injury has polystructural injury of two or more anatomical and functional structures. Based on the analysis of clinical examination, ultrasound and EMG data characteristics we proposed the concept of the treatment of peripheral nerve injuries in limbs trauma and highlighted its main points: the definition of the level and severity of the nerve damage, forecast its recovery and muscle reinnervation; assessment of the nature and degree of severity of the key muscle (denervation or a combination of several pathological processes), assessment of damage to other structures of the injured limb segment allowing for the polystructural injury treatment algorithm. |
| first_indexed | 2024-03-08T12:03:49Z |
| format | Article |
| id | doaj.art-967f2d529fa04919b797fc683ba900fc |
| institution | Directory Open Access Journal |
| issn | 2663-9084 2663-9092 |
| language | English |
| last_indexed | 2024-03-08T12:03:49Z |
| publishDate | 2016-09-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj.art-967f2d529fa04919b797fc683ba900fc2024-01-23T13:31:37ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922016-09-013485410.25305/unj.78784The concept of limb function recovery in traumatic injury of peripheral nervesVitaliy Tsymbaliuk0https://orcid.org/0000-0001-7544-6603Sergiy Strafun1https://orcid.org/0000-0001-8178-9290Oksana Haiko2https://orcid.org/0000-0003-0324-0686Vasil Gaiovych3https://orcid.org/0000-0003-4548-0207Romodanov Neurosurgery Institute, Kiev, UkraineInstitute of Traumatology and Orthopedics, Kiev, UkraineInstitute of Traumatology and Orthopedics, Kiev, UkraineInstitute of Traumatology and Orthopedics, Kiev, Ukraine Purpose. To develop key principles in the treatment of traumatic injury of peripheral nerves basing on analysis of injury of peripheral nerves severity, and structural and functional condition of muscles.Materials and methods. We analyzed the results of treatment of 726 patients with injury of peripheral nerves of the extremities. Injury of the upper extremity had 345 (47.5%) patients, with lower limb trauma 381 (52.5%) patients. Electromyography study was performed to 460 patients on “Neuroscreen” (Toenis, Germany) and “Viking Quest” (Nicollet, USA). Ultrasound of muscles was performed to 185 patients on HDI 3500 device and HD 11 XE (Philips) with a multifrequency linear transducer (5–12 MHz).Results. In 70.2 % of cases, nerve injury has polystructural injury of two or more anatomical and functional structures. Based on the analysis of clinical examination, ultrasound and EMG data characteristics we proposed the concept of the treatment of peripheral nerve injuries in limbs trauma and highlighted its main points: the definition of the level and severity of the nerve damage, forecast its recovery and muscle reinnervation; assessment of the nature and degree of severity of the key muscle (denervation or a combination of several pathological processes), assessment of damage to other structures of the injured limb segment allowing for the polystructural injury treatment algorithm.https://theunj.org/article/view/78784 |
| spellingShingle | Vitaliy Tsymbaliuk Sergiy Strafun Oksana Haiko Vasil Gaiovych The concept of limb function recovery in traumatic injury of peripheral nerves Ukrainian Neurosurgical Journal |
| title | The concept of limb function recovery in traumatic injury of peripheral nerves |
| title_full | The concept of limb function recovery in traumatic injury of peripheral nerves |
| title_fullStr | The concept of limb function recovery in traumatic injury of peripheral nerves |
| title_full_unstemmed | The concept of limb function recovery in traumatic injury of peripheral nerves |
| title_short | The concept of limb function recovery in traumatic injury of peripheral nerves |
| title_sort | concept of limb function recovery in traumatic injury of peripheral nerves |
| url | https://theunj.org/article/view/78784 |
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