Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 11-12, Pages: 780-783
https://doi.org/10.2298/SARH1112780A
Full text (
199 KB)
Cited by
Relevant factors in the treatment of digital nerve injury of the hand
Anđelković Slađana (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)
Lešić Aleksandar (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)
Vučković Čedo (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)
Suđić Vojo (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)
Bumbaširević Marko (Klinika za ortopedsku hirurgiju i traumatologiju, Klinički centar Srbije, Beograd)
Introduction. In his work the orthopaedic surgeon deals with a large number
of peripheral nerve injuries, especially of the upper extremity. Most of
these injuries involve the hand (30%). Objective. The aim of the study was to
analyze the influence of some factors (age, aetiology, level of injury,
associated injuries) on surgical treatment outcome of digital nerve injury of
the hand. Methods. At the Department for Microsurgery 72 hospitalized
patients were operated on due to the injury of common palmar digital nerves
and proper palmar digital nerves. All operations were performed within the
first 48h after injury and primary neurosuture was done in all. Beside the
evaluation of demographic parameters, we also assessed aetiology of injury,
associated injuries, level of injury, as well as the vascular status of the
injured finger. Functional recovery was measured by the Medical Research
Council (MCR) scale (S0-S4). Results. We found a statistically significant
difference in sensory recovery according to age and aetiology of injury
(p<0.05). Better results of sensory recovery were detected in cases with
undamaged artery or where anastomosis was done, but without statistical
significance. There was no statistical significance difference regarding the
level and associated injuries. Conclusion. Two major factors in the recovery
of digital nerve function are patient’s age and mechanism of injury. Having
in mind the limited degree of recovery, the patient should be precisely
informed preoperatively on the nature of injury and realistically expected
results.
Keywords: digital nerves, hand injury, microsurgery, neurosuture