[New diagnostic technologies in peripheral nerve injuries].
Based on experience of examination of about 300 patients with n. medianus and n. ulnaris injuries there are generalized new methodic possibilities in anatomical and functional approaches to diagnostics in peripheral neural trunks injuries. It is worth to include into the complex of diagnostic measures not only ENMG, but a set of other effective methods of investigation also. The use of modern clinical anatomical technologies (ultrasonography) permits as to detect areas of damage of the nerves, the sizes of diastasis and the location of the ends of the nerve, the presence and sizes of neuroma, as to evaluate the state of surrounding tissues, to reveal associated pathology. The application new clinical functional technologies (laser Doppler flowmetry with computer wavelet analysis of blood flow oscillations, computer thermography) allows to estimate the condition of the fine autonomous and sensor neural fibers. It empowers as diagnostics of functional condition of the nerve after trauma, as early detection the signs of tissue reinnervation after reconstruction of nerves and choice of the adequate tactics of management of such patients.
Golubev
V G
VG
Es''kin
N A
NA
Krupatkin
A I
AI
D004576:Electromyography; D006801:Humans; D008475:Median Nerve / Q000293:injuries; D009416:Nerve Regeneration; D009463:Neuroma / Q000175:diagnosis; D059348:Peripheral Nerve Injuries; D012680:Sensitivity and Specificity; D020196:Trauma, Nervous System / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014459:Ulnar Nerve / Q000293:injuries; D014463:Ultrasonography