2-POINT DISCRIMINATION TESTS VERSUS FUNCTIONAL SENSORY RECOVERY IN BOTH MEDIAN AND ULNAR NERVE COMPLETE TRANSECTIONS

被引：25

作者：

CHASSARD, M

PHAM, E

COMTET, JJ

机构：

[1] Department of Hand Surgery, Hôpital E. Herriot, Centre d'Informatique Médicate Alexis Carrel, Lyon, Clinique du Parc

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 06期

关键词：

D O I：

10.1016/0266-7681(93)90247-D

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：

Transection of both median and ulnar nerves provides an objective model to compare sensory and functional recovery. 22 patients mere evaluated after nerve repair. The mean age was 30 years and the mean time since surgery 80 months. Primary direct suture was performed in 15 patients and six grafts were necessary. Median nerve suture and ulnar nerve graft were combined in one case. Both sensory and functional evaluation were completed. Statistical evaluation analyzed the relationship between age, injury location, mechanism, type of rehabilitation and the result, and the relationship between two-point discrimination distance (2-PD) and the functional score. According to the SO to S4 grading, only 26.5% (ulnar) and 31% (median) of direct suture cases achieved S3+ or more. Ah nerve grafts in adults were poor. A strong relationship was found between two-point discrimination distance (moving and static) and the functional result, even after multivariate analysis. A modification of the Medical Research Council's classification is suggested.

引用

页码：790 / 796

页数：7

共 28 条

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