Upper extremity nerve lesions (diagnosis, indications, surgical techniques)

Detalhes bibliográficos
Autor(a) principal: Abreu,Lauro Barros de
Data de Publicação: 1997
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000400008
Resumo: OBJECTIVE: Revision and questioning of orthodox principles regarding the conduction of nerve impulse. DESIGN: Retrospective study with clinical analysis of results. SITE: Hospital das Clinicas (HCFMSP), public university institution with research programs and tertiary attention to health. GROUP MEMBERS: Author and a team of residents and trainees. OPERATION: Direct suture of nervous stumps utilizing auxiliary technical procedures:- joint-flexion, nerve transposition, tendon transplants, bone shortening. MEASUREMENT: Clinical evaluation and objective tests for tactile and stereognostic function recovery (WeberTest). RESULTS: Variable, depending on preoperative conditions: - type of lesion, time elapsed since injury. CONCLUSIONS: Neurorrhaphy should be the procedure of choice even for long term lesions, although the expected results may be less favourable. Periodical evaluation from 24 hs. postoperative, checking for early undefined signals of nervous function recovery. Association of specific drugs for chemical biophysics of the nerve.
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spelling Upper extremity nerve lesions (diagnosis, indications, surgical techniques)Peripheral nervesAccidentsInjuriesCompression syndromesHand surgeryOBJECTIVE: Revision and questioning of orthodox principles regarding the conduction of nerve impulse. DESIGN: Retrospective study with clinical analysis of results. SITE: Hospital das Clinicas (HCFMSP), public university institution with research programs and tertiary attention to health. GROUP MEMBERS: Author and a team of residents and trainees. OPERATION: Direct suture of nervous stumps utilizing auxiliary technical procedures:- joint-flexion, nerve transposition, tendon transplants, bone shortening. MEASUREMENT: Clinical evaluation and objective tests for tactile and stereognostic function recovery (WeberTest). RESULTS: Variable, depending on preoperative conditions: - type of lesion, time elapsed since injury. CONCLUSIONS: Neurorrhaphy should be the procedure of choice even for long term lesions, although the expected results may be less favourable. Periodical evaluation from 24 hs. postoperative, checking for early undefined signals of nervous function recovery. Association of specific drugs for chemical biophysics of the nerve.Associação Paulista de Medicina - APM1997-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000400008Sao Paulo Medical Journal v.115 n.4 1997reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801997000400008info:eu-repo/semantics/openAccessAbreu,Lauro Barros deeng2008-11-05T00:00:00Zoai:scielo:S1516-31801997000400008Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-11-05T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
title Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
spellingShingle Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
Abreu,Lauro Barros de
Peripheral nerves
Accidents
Injuries
Compression syndromes
Hand surgery
title_short Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
title_full Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
title_fullStr Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
title_full_unstemmed Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
title_sort Upper extremity nerve lesions (diagnosis, indications, surgical techniques)
author Abreu,Lauro Barros de
author_facet Abreu,Lauro Barros de
author_role author
dc.contributor.author.fl_str_mv Abreu,Lauro Barros de
dc.subject.por.fl_str_mv Peripheral nerves
Accidents
Injuries
Compression syndromes
Hand surgery
topic Peripheral nerves
Accidents
Injuries
Compression syndromes
Hand surgery
description OBJECTIVE: Revision and questioning of orthodox principles regarding the conduction of nerve impulse. DESIGN: Retrospective study with clinical analysis of results. SITE: Hospital das Clinicas (HCFMSP), public university institution with research programs and tertiary attention to health. GROUP MEMBERS: Author and a team of residents and trainees. OPERATION: Direct suture of nervous stumps utilizing auxiliary technical procedures:- joint-flexion, nerve transposition, tendon transplants, bone shortening. MEASUREMENT: Clinical evaluation and objective tests for tactile and stereognostic function recovery (WeberTest). RESULTS: Variable, depending on preoperative conditions: - type of lesion, time elapsed since injury. CONCLUSIONS: Neurorrhaphy should be the procedure of choice even for long term lesions, although the expected results may be less favourable. Periodical evaluation from 24 hs. postoperative, checking for early undefined signals of nervous function recovery. Association of specific drugs for chemical biophysics of the nerve.
publishDate 1997
dc.date.none.fl_str_mv 1997-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000400008
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000400008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31801997000400008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.115 n.4 1997
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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