Reappraisal of Clinical Deficits Following High Median Nerve Injuries

Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/26710729
http://www.jhandsurg.org/article/S0363-5023(15)01377-5/abstract
De:
Bertelli JA¹, Soldado F², Lehn VL³, Ghizoni MF⁴.
J Hand Surg Am. 2016 Jan;41(1):13-9. doi: 10.1016/j.jhsa.2015.10.022.
Todos los derechos reservados para:
Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Abstract

PURPOSE:

To describe clinically apparent motor and sensory deficits in a cohort of 11 patients with isolated injury of the median nerve above the elbow and compare them against similar cases reported in the literature.

CONCLUSIONS:

Noteworthy discrepancies were identified between the clinical motor and sensory deficits described in the literature and those observed in our patients.

CLINICAL RELEVANCE:

In most patients with a high median nerve injury, only thumb and index flexion and palmar sensation warrant surgical reconstruction. Decreased grasp and pinch strength was a major finding that should also be addressed by surgery.

TYPE OF STUDY/LEVEL OF EVIDENCE:

KEYWORDS:

Median nerve; above-elbow median nerve injury; median nerve palsy; nerve transfer; proximal median nerve injury

PMID: 26710729 [PubMed – in process]