INTRINSIC MOTOR RECOVERY - A LONG-TERM STUDY OF ULNAR NERVE REPAIR
INTRINSIC MOTOR RECOVERY - A LONG-TERM STUDY OF ULNAR NERVE REPAIR
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DOI：
10.1016/s0363-5023(82)80048-8
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发表时间：
1982-01-01
影响因子：
1.9
通讯作者：
GAUL, JS
中科院分区：
文献类型：
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作者：
GAUL, JS
这项回顾性研究是在20世纪70年代中期进行的，当时对41例尺神经撕裂患者进行了神经外膜缝合修复后1-6年的检查。原始神经间隙范围为1-5 cm。通过临床肌肉测试测量内在运动恢复，并使用Jamar测力计和奥斯科夹持计进行力量评估。结果表示为正常功率的百分比。高病变的年轻患者显示出不同的结果，通常是好的。高度病变的成人从未恢复可接受的功能。低病变的年轻患者在2年时显示出极好的结果。低位缝合的成人通常在2年内没有恢复，但在回顾性检查中发现，修复后2 1/2-6年内恢复了非常好的内在运动能力。最终结果与修复延迟（最多6个月）之间没有明确的相关性。或在测量的神经间隙中（最大5 cm）。未研究使用不同缝线材料的结果，但注意到所用材料未导致明显并发症。
This retrospective study was made in the middle 1970s when 41 patients with ulnar nerve laceration were examined 1-6 yr after repair by epineurial suture. The original nerve gaps ranged from 1-5 cm. Intrinsic motor recovery was measured by clinical muscle testing, and strength assessment by using the Jamar dynamometer and the Osco pinch gauge. Results were expressed as a percentage of normal power. Young patients with high lesions showed variable results, often faily good. Adults with high lesions never recovered acceptable function. Young patients with low lesions showed excellent results by 2 yr. Adults with low sutures usually showed no recovery for 2 yr but, on recall examination, were found to have recovered very good intrinsic motor power 2 1/2-6 yr after repair. There was no clear correlation between the end result and either the delay in repair (up to 6 mo.) or in the measured nerve gap (maximum 5 cm). The results from the use of different suture materials were not studied except to note no obvious complications resulting from the materials used.