Evaluation of clinical, electrophysiologic, and computed tomographic parameters in replanted hands.

摘要: Abstract Machetanz J, Roricht S, Gress Schaff Bischoff C. Evaluation of clinical, electrophysiologic, and computed tomographic parameters in replanted hands. Arch Phys Med Rehabil 2001;82:353-9. Objective: To compare tomography (CT) imaging correlates reinnervation limbs. Design: Patients were assessed between 8 194 months after replantation completely severed Setting: University hospital, departments for neurology plastic reconstructive surgery. Participants: Thirteen patients, 10 with total 3 subtotal type V amputation, whose hands had been reattached. Interventions: Clinical assessment function hand finger muscles; electromyographic tests sensory nerve action potentials (SNAPs) median, ulnar, radial nerves; compound motor (CMAPs) abductor pollicis brevis, first dorsal interosseus, digiti minimi muscles. CT unit potentials. Measurements both normal Main Outcome Measures: Medical Research Council scale force; functions anatomic areas SNAP CMAP amplitudes; area, mean absorption, standard deviation (SD) from root square SD absorption. Results: Correlates evidenced by all methods, except surface recordings SNAPs, which could not be elicited even good function. amplitudes the electrophysiologic parameter that correlated best clinical restoration. Of measures, cross-sectional area was most useful detection denervation, but no sufficiently sensitive to detect reinnervation. In cases functional recovery, superior rating showing incomplete Conclusion: The combination methods supplied sufficient data a reliable evaluation Usually, did add information.