Caterina Fantoni1, Carmen Erra2, Eduardo Marcos Fernandez Marquez2, Andrea Ortensi3, Andrea Faiola4, Daniele Coraci1, Giulia Piccinini5, Luca Padua6. 1. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. 2. IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Rome, Italy. 3. Department of General Microsurgery and Hand Surgery, "Fabia Mater" Hospital, Rome, Italy. 4. Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy. 5. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy; Board of Physical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, "Sapienza" University, Rome, Italy. 6. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy; Department of Geriatrics, Neurosciences and Orthopaedics, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: luca.padua@unicatt.it.
Abstract
BACKGROUND: Peripheral nerve injuries often undergo surgical repair, but poor postoperative functional recovery is frequently observed. CASE DESCRIPTION: We describe 4 cases of traumatic nerve lesions in whom postoperative recovery was prevented by complications such as detachment of nerve sutures or neuroma growth. To the best of our knowledge, no similar cases have been reported in literature so far. It is important to obtain an early diagnosis of such condition because it prevents recovery and delays reintervention, which should be performed before complete muscle denervation and atrophy. CONCLUSION: Nerve ultrasound is a valuable tool in traumatic nerve injury and has proven to be useful in postoperative follow-up, especially in diagnosing surgical complications such as detachment of nerve direct sutures.
BACKGROUND: Peripheral nerve injuries often undergo surgical repair, but poor postoperative functional recovery is frequently observed. CASE DESCRIPTION: We describe 4 cases of traumatic nerve lesions in whom postoperative recovery was prevented by complications such as detachment of nerve sutures or neuroma growth. To the best of our knowledge, no similar cases have been reported in literature so far. It is important to obtain an early diagnosis of such condition because it prevents recovery and delays reintervention, which should be performed before complete muscle denervation and atrophy. CONCLUSION: Nerve ultrasound is a valuable tool in traumatic nerve injury and has proven to be useful in postoperative follow-up, especially in diagnosing surgical complications such as detachment of nerve direct sutures.
Authors: Igor D Luzhansky; Leland C Sudlow; David M Brogan; Matthew D Wood; Mikhail Y Berezin Journal: Nanomedicine (Lond) Date: 2019-10-15 Impact factor: 5.307