Albin John1, Stephen Rossettie2, John Rafael3, Cameron Cox2, Ivica Ducic4, Brendan Mackay2. 1. Surgery, Texas Tech University Health Sciences Center. 2. Orthopedic Surgery, Texas Tech University Health Sciences Center. 3. Internal Medicine, Texas Tech University Health Sciences Center. 4. Plastic Surgery, The George Washington University.
Abstract
Introduction: Peripheral nerve injuries can be difficult to diagnose, treat, and monitor given their highly variable presentation. When the status of nerves is not accurately assessed, treatment may be delayed or overlooked and can result in lasting functional deficits. As our understanding of nerve repair and generation evolves, so will tools for evaluating both the functional and morphological status of peripheral nerves. Objective: There is currently no single article which provides a detailed, comprehensive view of the literature comparing the clinical utility of various assessment modalities. Furthermore, there is no consensus on the optimal assessment algorithm for peripheral nerve injuries. Methods: We performed a literature review using a comprehensive combination of keywords and search algorithm. The search was focused on clinical data regarding the assessment of peripheral nerves Results: This review may help to determine the appropriate tools that are currently available for monitoring nerve function both pre and postoperatively. Additionally, the review demonstrates possible roles and areas of improvement for each tool used to assess motor function. Conclusion: As surgeons work to improve treatments for peripheral nerve injury and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.
Introduction: Peripheral nerve injuries can be difficult to diagnose, treat, and monitor given their highly variable presentation. When the status of nerves is not accurately assessed, treatment may be delayed or overlooked and can result in lasting functional deficits. As our understanding of nerve repair and generation evolves, so will tools for evaluating both the functional and morphological status of peripheral nerves. Objective: There is currently no single article which provides a detailed, comprehensive view of the literature comparing the clinical utility of various assessment modalities. Furthermore, there is no consensus on the optimal assessment algorithm for peripheral nerve injuries. Methods: We performed a literature review using a comprehensive combination of keywords and search algorithm. The search was focused on clinical data regarding the assessment of peripheral nerves Results: This review may help to determine the appropriate tools that are currently available for monitoring nerve function both pre and postoperatively. Additionally, the review demonstrates possible roles and areas of improvement for each tool used to assess motor function. Conclusion: As surgeons work to improve treatments for peripheral nerve injury and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.
Authors: C E de Putter; R W Selles; J A Haagsma; S Polinder; M J M Panneman; S E R Hovius; A Burdorf; E F van Beeck Journal: Injury Date: 2014-07-27 Impact factor: 2.586
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Authors: Philipp Bäumer; Markus Weiler; Maurice Ruetters; Frank Staub; Thomas Dombert; Sabine Heiland; Martin Bendszus; Mirko Pham Journal: PLoS One Date: 2012-11-14 Impact factor: 3.240