ACCESSORY NERVE INJURY - CONSERVATIVE OR SURGICAL-TREATMENT

被引：24

作者：

OGINO, T

SUGAWARA, M

MINAMI, A

KATO, H

OHNISHI, N

机构：

[1] Department of Physical Therapy, School of Allied Health Professions, Sapporo Medical College

[2] Department of Orthopaedic, Japan Surgery

[3] Department of Orthopaedic Surgery, School of Medicine, Hokkaido University

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1991年 / 16B卷 / 05期

关键词：

D O I：

10.1016/0266-7681(91)90109-2

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In order to clarify the functional prognosis of accessory nerve injury after nerve repair and nonsurgical surgical treatment, 27 of our cases with accessory nerve injury were studied. 20 cases were followed up for more than 8 months. In ten cases treated conservatively, the dull feeling and hypaesthesia did not improve. However, pain and dysfunction of the shoulder improved in half of these cases. In ten cases treated surgically, nerve suture was performed in two cases, nerve graft in five cases and neurolysis in three cases. In the surgically treated group, subjective complaints disappeared in all cases, but hypaesthesia or contracture of the shoulder persisted in three cases. Surgical treatment of the accessory nerve is recommended in fresh cases with complete paralysis and in cases in which there is no sign of nerve recovery within one year after the original injury.

引用

页码：531 / 536

页数：6

共 8 条

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