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Pages 646-675

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From page 646... ... nerve lesions, frequency of, 36-37 Arm (see also upper extremity) nerve lesions, frequency of, 36-37 Army Registry, 2, 6-13 Arterial injury denned, 37 distribution by nerve, 38 effect on autonomic recovery, 344 days from injury to suture, 52, 134 management, 627-629 motor recovery, 130-134, 138, 149 recovery generally, 447 sensory recovery, 284-285, 627-628 frequency of, 37-39 painful phenomena and, 337-338 Arthrodesis, 48-52, 394, 405-407 Associated injuries (see also under individual nerves, and arterial, bone and joint, infection, plastic repair, and soft tissue) Read the entire page →
From page 647... ... Associated injuries -- Continued effect on autonomic recovery, 344 management, 626-629 motor recovery, 123-138, 147, 149 sensory recovery, 278-285 frequency of, 36-38 other nerves, 32-34, 124-125, 278-279, 363 relation to agent of injury, 38-39 time in hospital, 63-68 use of cuff, 180 Atrophy, of muscles, 74, 228-229 Autonomic recovery (see also skin resistance and sweating) anatomic aspects of, 342 assessment of, 341-343 degree of, by nerve, 343-344, 632-637 effects of characteristics of injury, 343-345 technical factors, 345-346 Autonomous zone, 250-251, 343 Axillary nerve injury, motor examination, 576 Axonopraxis, 577 Bias from incomplete follow-up, 22-28 Bone or joint injury case histories, 409-498 defined, 35-36 effect on autonomic recovery, 344 days from injury to suture, 51-52 management of nerve injury, 51-52, 626-627 motor recovery, 125-127 ^ensory recovery, 279-281 frequency of, 37-39 painful phenomena and, 337-338 Braces, lower extremity, 361 Brachial plexus injury anatomic regeneration, 638 classification of, 389-390 diagnosis of, 570 electrical tests, 396 exploration and recovery, 404 grafts and regeneration, 390 joint fusion, 394 management, 399-407, 638 647 Read the entire page →
From page 648... ... S modification, comparison, 256-259 variation, by center, 248 Bulb suture, 299 effect on autonomic recovery, 345 motor recovery, 164, 166-167 painful phenomena, 339 sensory recovery, 299-300 Capsulotomy, 48-52 Case histories, 409-498, 589-623 Cathode ray oscillagraph, 215 Causalgia brachial plexus injury, 406 case reports, 328-334 diagnosis, 311-314, 316 history, 314-315 results, 318-317 sympathectomy, 316-318, 334, 406 treatment, 312-313, 315-317, 334-335 Cervical myelogram, 401 Chronaxiemetry anomalous innervation and, 223 center variation, 211, 229-232 64t Read the entire page →
From page 649... ... Cooperative clinical investigation, xxiii, 2-5, 29-30 Cuff (see tantalum cuff) Days from injury to suture distribution of nerve lesions as to, 43 effect on autonomic recovery, 345 motor recovery, 139, 142-157, 197, 625-626 painful phenomena, 338 recovery generally, 446-447, 469, 497 sensory recovery, 288-294, 626 factors involved, 51-53 pathological forecast and, 532, 535-537, 539, 544-545 relation to associated arterial injury, 134 associated injuries and complications, 51, 147, 149 character of injury, 42-43 echelon of repair, 43 fibrotic change, 539, 544-545 length of surgical gap, 150, 154, 546 other indices and measurements, 501-509 suture material used, 178 use of cuff, 180 variation in distal tubular diameter, 530-538 Definitive operation, 40-41 Disability rating (see Veterans Administration) Read the entire page →
From page 650... ... Extensor pollicis longus (see radial nerve) Fascicles, matching, 514-515, 526-527, 530, 538, 542, 567 Femoral nerve injury, 576 Fibrotic and neuromatous changes, 520, 539, 544 First dorsal interosseus (see ulnar nerve) Read the entire page →
From page 651... ... Hospitalization, duration of, xvi, 63-68, 630-638 Hyperalgesia, 335 Hyperesthesia, 313 Hyperpathia, 312, 336 Hysteria or malingering, 581 Infection, chronic effect on autonomic recovery, 344 delay in repair, 52-53, 127, 130 motor recovery, 127-130, 135, 149 sensory recovery, 281-284 frequency of, 39 Injury, type of, 34, 501-509 Interossei (see tibial and sciatic-tibial nerve) Ischemia (see arterial injury) Read the entire page →
From page 652... ... Management of nerve injury (see also under individual aspects and nerves) , xxii, 40-62, 569-629 Median nerve injury ancillary operative procedures, 49-50 associated lesions and complications arterial, 37-38 bone and joint, 125-127 infection, 127-130 other nerves, 33 plastic repair, 134-137 autonomic recovery, 342-344, 634 British summary, sensory regeneration, 254-259 British summary, motor regeneration, 113-121 case histories, 411-424, 608-610, 620-621 causalgia, 319-323, 330-334 diagnosis of, 570, 575 disposition to duty, 62-63, 384-387 effect of adverse factors, 198-200 arterial injury, 131-134, 284-285 bone and joint injury, 125-127, 279-281 bulb suture, 164, 167, 300 character of nerve ends, 168, 300 chronic infection, 128, 282-284 cuff, 181, 185-187, 304-307, 551 days from injury to definitive suture, 147-151, 289-293, 534, 551 days from injury to first suture, 151, 155, 158 echelon of repair, 158, 295-296 652 Read the entire page →
From page 653... ... 634 muscles studied, 73 neuropathologic forecasts, 499, ff. occupational change, 377-382 occupational handicap, 382-384 pain response, 251-252, 634 painful phenomena, 319-323, 330-338 sensory recovery, 251-266, 370-374, 634 skin resistance, 343-344 sweating, loss of, 343-344 tetanus ratio, 214 touch response, 252-254, 634 VA disability ratings, 376 Mobilization of nerve autonomic recovery, 345 frequency of, by nerve, 45-47 motor recovery, 159, 162-163 sensory recovery, 297-299 Motor examination, 574-576 Motor paralysis, 405-406 653 Read the entire page →
From page 654... ... Motor recovery (see also under each nerve, and British classification of motor recovery) assessment of, 72-76, 203-220, 579-580 British classification of, 113-121 case histories, 409-498 effect of adverse factors, 198-201 age at injury, 106 associated injuries and complications, 123-138 bone resection, 166 bulb suture, 164-167 calendar date of suture, 157 cuff removal, 187-189 cuff, use of, 180-185 days from injury to suture, 139, 142-157 echelon of repair, 148-150, 157-158 fascicle opposition, 530, 538 infection, 127-128, 130, 134-135 length of surgical gap, 150, 154, 157-161 management, 101-106, 141 mobilization of nerve, 159, 162-163 multiple lesions, 119-121 nerve ends, 167-170 neurolysis, 93-94, 95, 101-105, 190, 192-193 number of operations, 138-141 plastic repair, 134-138 site of lesion, 87, 91-99, 119-120, 199-200 stay sutures, 185-186, 190 suture line tension, 170-173 suture material used, 174-179 training of surgeon, 191, 194-196 transposition, 159, 162-163 type of lesion, 95, 100-106, 148, 150 electrodiagnosis, 203-240, 581-582, 584-586 follow-up data on, 76-201, 220-240 groups of muscles, 106-122 individual muscles, 73-106 neuropathologic forecasts and, 501-509, 559-563 relation to autonomic recovery, 346 functional recovery, 368-370, 373-374 painful phenomena, 339-340 sensory recovery, 370-374 spontaneous, 397 tendon transfers and, 404 -- 405 variation in, 77-123 654 Read the entire page →
From page 655... ... atrophy, 74, 228-229 choice for study, 72-73 denervation, 231-233, 235-240 electrodiagnosis, 203-240, 581-582, 584-586 examination of, 72-76, 574-576, 579-580 number contracting, 109-112 pathologic forecasts, 501-509, 559-563 relation of one to another, 109-112 voluntary movement classification of, 73-74 psychological factors and, 220-221, 235-240 relation to results of electrodiagnosis, 220-240 strength of, 73-74, 77-113, 120-122 Musculocutaneous nerve injury, 332-333, 576 Nerve ends (see also neuropathologic forecasts) gross evaluation of, 51 relation to automatic recovery, 345 motor recovery, 167-170 sensory recovery, 300-301 Nerve injury (see also individual nerves and recovery categories) Read the entire page →
From page 656... ... Occupational adjustment classification, 353 functional recovery, relation to, 349-387 nerve injury, effect of, 354 636 Read the entire page →
From page 657... ... algesiometer, 243 assessment of, 243-244 autonomous zone, 242-243, 250-251 center variation in, 244, 250 effect of associated lesions, 278-286 characteristics of nerve injury, 266-278 technical aspects of management, 286-308 evidence of regeneration, 580 follow-up data on, 251-252, 260-262 neurolysis and suture compared, 260-262 neuropathologic forecast and, 501-509, 548-551 403930 -- 57 44 657 Read the entire page →
From page 658... ... Peroneal nerve injury ancillary operative procedures, 50 associated lesions and complications arterial, 38 bone and joint, 126, 280 infection, 129 other nerves, 33, 343 plastic repair, 134-135, 137, 285-286 autonomic recovery, 343-344, 633 braces, 361 British summary, motor recovery, 113-121 British summary, sensory recovery, 256 case histories, 47-460, 598-599 causalgia, 324-327 diagnosis of, 570, 575 disposition to duty, 62-63, 384-387 effect of bone and joint injury, 125-127, 279-281 bulb suture, 165, 167, 300 character of nerve ends, 169, 300 chronic infection, 129, 282-284 cuff, 182-186, 189, 304-307 days from injury to definitive suture, 145-149, 290-294 days from injury to first suture, 152-153, 155 echelon of repair, 158, 295-296 extensive mobilization and transposition, 163, 298 external or internal lysis, 193 length of surgical gap, 48-49, 160-161, 297 lysis, 119, 261, 263 multiple lesions, 121 number of operations, 140, 287 plastic repair, 137-138, 286 site of lesion, 92, 94, 98, 270-271, 273, 276 stay suture, 190 training of surgeon, 195, 308 suture and lysis, compared, 103, 262 suture line tension, 172, 301 658 Read the entire page →
From page 659... ... Plastic repair case histories, 409-498 effect on autonomic recovery, 344 days from injury to nerve suture, 53 motor recovery, 134-138, 149 painful phenomena, 337 sensory recovery, 285-286 frequency of, 39 Position sense, 245-246 Procaine block, 322, 326, 335 Prosthesis, 394 Psychological block to voluntary contraction, 236 Radial nerve injury ancillary operative procedures, 50 associated lesions and complications arterial, 38 bone and joint, 126-127 659 Read the entire page →
From page 660... ... , 40-62, 637 motor recovery, 77-123, 235-240, 368-370, 373-374, 637 muscles studied, 73 neuropathologic forecasts, 499, ff. occupational change, 377-382 occupational handicap, 382-383 660 Read the entire page →
From page 661... ... , 394, 406-407 Rheobase, 208 Sampling considerations allocations to follow-up centers, 10, 12 bias from incomplete follow-up, 22-28 criteria of eligibility, 11 geographical factors, 7-8 men in military service, 8-9 nerves involved, 5-6, 12-13 neurolysis, 7, 9 objectives of study, 5 size of sample, 12-13 source of cases, 5-7, 12 suture, 5-6, 9 test of Army Registry, 10-11 VA compensation study, 375-376 Sciatic nerve injury (see also sciatic-peroneal and sciatic-tibial) complete autonomic recovery, 342-344 braces, 361 case histories, 385, 473-496 defined, 124 functional recovery, 355-368 motor recovery, 124-125 Ml Read the entire page →
From page 662... ... Sciatic nerve injury -- Continued complete -- Continued occupational change, 380 -- 382 occupational handicap, 382 -- 383 component trunks considered separately, 12-13 Sciatic-peroneal injury ancillary operative procedures, 50 associated lesions and complications arterial, 38 bone and joint, 126 infection, 129 other nerves (see sciatic nerve injury) autonomic recovery, 343-344, 632 British summary, motor recovery, 113-121 British summary, sensory recovery, 256 case histories, 487-496, 589-591 causalgia, 324-327 diagnosis of, 570, 575 disposition to duty, 62-63, 384-387 effect of bone and joint injury, 125-127, 279-381 bulb suture, 165, 167, 300 character of nerve ends, 169 chronic infection, 129, 282-284 cuff, 183-186, 189, 304-307 days from injury to definitive suture, 145, 290, 292-294 days from injury to first suture, 153, 155 echelon of repair, 158 extensive mobilization and transposition, 163, 298 external or internal lysis, 193 length of surgical gap, 48-49, 160-161, 297 lysis, 119, 261, 263-264 multiple lesions, 121 number of operations, 140 other nerve injuries, 124 -- 125 site of lesion, 98, 273, 632 stay suture, 190 suture line tension, 173 suture material, 177 suture or lysis, 103, 262 training of surgeon, 195 type of lesion, 101, 108, 113-114, 267-268 type of surgery, 107, 122, 264-265 frequency of, 33 functional recovery (see complete sciatic nerve injury) Read the entire page →
From page 663... ... occupation (see complete sciatic nerve injury) pain response, 251-252, 632 painful phenomena, 324-327 sensory recovery, 251-266, 372-374, 632 skin resistance, 343-344 sweating, loss of, 343-344 tetanus ratio, 214 touch response, 252-253, 632 Sciatic-tibial injury ancillary operative procedures, 50 associated lesions and complications arterial, 38 bone and joint, 126 infection, 129 other nerves (see sciatic nerve injury) Read the entire page →
From page 664... ... pain response, 251-252, 632 painful phenomena, 324-327 sensory recovery, 251-266, 372-374, 632 skin resistance, 343-344 sweating, loss of, 343-344 tetanus ratio, 214 touch response, 252-253, 632 Sciatic-tibial and sciatic peroneal nerves, combined, 299 Sensory recovery (see also under each nerve, individual sensory modalities, and British classification of sensory recovery) assessment of, 242-250, 256-259 British classification of, 247-248, 256-259 case histories, 409-498 effect of anatomic completeness of lesion, 266-268 associated arterial injury, 284-285 associated bone or joint injury, 279, 281 associated injuries, 278-286 associated nerve injury, 278-279 bulb suture, 299-300 character of nerve ends, 300 characteristics of nerve injury, 251, 266-278 cuff, 303-306 chronic infection delaying repair, 281, 284 days from injury to definitive suture, 288-294 echelon of definitive repair, 296 extensive mobilization and transposition, 297-299 length of surgical gap, 295-297 matching of proximal and distal fascicles, 516, 526-527, 538 multiple lesions, 276-278 664 Read the entire page →
From page 665... ... , 401, 629 Splinting, continuous or intermittent, 571 SR (see skin resistance) Statistical analysis, 4, 28, 198, 512-513 665 Read the entire page →
From page 666... ... Surgical gap, length of associated with bulb suture, 166 cuff used, 180 days from injury to suture, 150-154, 546 neuropathologic forecast of regeneration, 539-540, 546-547 other indices and measurements, 501-509 effect on functional regeneration, 497 motor recovery, 154, 157, 159, 161, 626 recovery generally, 447, 497 sensory recovery, 295-297 factors involved, 47-49 frequency, 47 Surgical procedures, ancillary, 48-50, 587-588 Suture (see also operation for nerve injury) compared with neurolysis, 101-106, 118-122, 260-265 following graft, 61 neurolysis, 61 partial suture, 61 partial and complete compared, 105-106 reasons for failure, 55-57 recovery following autonomic, 342, 344 functional, 354-374 motor, 77-100, 106-118, 235-240, 368-370 sensory, 251-259, 370-374 666 Read the entire page →
From page 667... ... nerve lesions, frequency of, 36-37 Thumb opposition, factor in functional recovery, 635 Tibial nerve injury ancillary operative procedures, 50 associated lesions and complications arterial, 38 bone and joint, 126 infection, 129 other nerves, 33 autonomic recovery, 343-344, 633 British summary, motor recovery, 113-121 British summary, sensory recovery, 256 case histories, 460-473 causalgia, 324-327 diagnosis of, 570, 575 disposition to duty, 62-63, 384-387 447 Read the entire page →
From page 668... ... occupational change, 377-382 occupational handicap, 382-383 pain response, 251-252, 633 painful phenomena, 324-327 sensory recovery, 251-266, 370-374, 633 skin resistance, 343-344 sweating, loss of, 343-344 tetanus ratio, 214 touch response, 252-253, 633 Tibialis anticus (see pereoneal and sciatic-peroneal) Tibialis posticus (see tibial and sciatic-tibial) Read the entire page →
From page 669... ... Training of neurosurgeon effect on autonomic recovery, 345 motor recovery, 191, 194 sensory recovery, 308 Transposition of nerve autonomic recovery, 345 frequency of, by nerve, 45-47 motor recovery, 159, 162-163 sensory recovery, 297-299 Triceps (see radial nerve) Ulnar nerve injury ancillary operative procedures, 49-50 associated lesions and complications arterial, 37-38 bone and joint, 125-127 infection, 127-130 other nerves, 33 plastic repair, 134-137 autonomic recovery, 342-344, 636 British summary, motor recovery, 113-121 British summary, sensory recovery, 254-259 case histories, 387, 424-436, 591-608, 610-620 causalgia, 319-323, 330-334 diagnosis of, 570, 575 disposition to duty, 62-63, 384-387 669 Read the entire page →
From page 670... ... occupational change, 377-382 occupational handicap, 382-384 pain response, 251-252, 636 painful phenomena, 319-323, 330-338 sensory recovery, 251-266, 370-374, 636 skin resistance, 343-344 sweating, loss of, 343-344 670 Read the entire page →
From page 671... ... as evidence of regeneration, 71-72, 74, 220-221 grading of, 73 psychological block to, 235-240 technique of examination, 72 -- 74 Wound management concept, 625-629 Wrist (see also upper extremity) nerve lesions, frequency of, 36-37 U Read the entire page →
From page 674... ... 595 .W6 Peripheral nerve regeneration Read the entire page →

From page 646...

... nerve lesions, frequency of, 36-37 Arm (see also upper extremity) nerve lesions, frequency of, 36-37 Army Registry, 2, 6-13 Arterial injury denned, 37 distribution by nerve, 38 effect on autonomic recovery, 344 days from injury to suture, 52, 134 management, 627-629 motor recovery, 130-134, 138, 149 recovery generally, 447 sensory recovery, 284-285, 627-628 frequency of, 37-39 painful phenomena and, 337-338 Arthrodesis, 48-52, 394, 405-407 Associated injuries (see also under individual nerves, and arterial, bone and joint, infection, plastic repair, and soft tissue)

Index to Subjects Pages 646-675

Index to Subjects
Pages 646-675