Iatrogenic nerve lesions of the upper extremity.
Thirty-three patients are presented who suffer from iatrogenic nerve injury of the upper extremity. Depending on the nature, duration, and degree of nerve injury, we performed neurolysis (16), direct nerve coaptation (4), and nerve grafting (13). Fourteen (70%) of 20 patients presenting with motor nerve injury achieved motor function against resistance. In 26 of 30 patients (87%) with sensory nerve involvement, at least some superficial sensory function was restored. Surgeons should be familiar with clinical and electroneurophysiological tests for early diagnosis of iatrogenic nerve injuries to allow early intervention for maximal nerve recovery.
Krapohl
Björn D
BD
Department of Plastic and Reconstructive Surgery, Lainz Hospital, Vienna, Austria. snownessi@web.de
Jahn
Karin
K
Lukschu
Sandra
S
Machens
Hans-Günther
HG
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D020516:Brachial Plexus Neuropathies / Q000534:rehabilitation / Q000601:surgery*; D002648:Child; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D009119:Muscle Contraction; D011788:Quality of Life; D020127:Recovery of Function; D012677:Sensation; D016896:Treatment Outcome