Nerve Injuries and Their Repair: A Critical Appraisal

摘要: Part 1 General considerations: terminology relating to nerves, nerve injury and repair animal experimentation the solution of clinical problems. 2 Anatomical terms structure fibres trunks fascicular anatomy numbers for individual branches connective tissues blood supply nerves lymphatics, endoneurial spaces, Nervi nervorum features that protect them from during normal daily activities. 3 The pathology injury: conduction block axon degeneration regeneration related changes neurotropism in causes injury, terminology, compression traction friction trauma entrapment lesions ischaemic due caused by injection therapeutic agents, cryogenic lesions, ionising radiation miscellaneous neuromas neural fibrosis a classification injury. 4 Changes denervated structures: bones, joints, periarticular structures tendons muscle factors influencing development severity capacity reinnervated human muscles function efficiently after prolonged denervation skin subscutaneous tissues, trophic changes. 5 Diagnosis, motor sensory sympathetic functions their evaluation: diagnosis what can tell us about pain mechanisms? function. 6 management repair: history principles non-surgical treatment neurolysis, mobilization, transportation, painful quality recovery decision making strategies improving results end-to-end grafting methods course end-result evaluation its implications brachial plexus directed restoring elbow flexion future.