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Sonographic measurements of longitudinal median nerve sliding in patients following nerve repair

journal contribution
posted on 2023-06-08, 12:36 authored by Ertan Erel, Andrew DilleyAndrew Dilley, Sarah Turner, Prem Kumar, Waqar A Bhatti, Vivien C Lees
Nerve sliding may be restricted following nerve repair. This could result in increased tension across the repair site and lead to poor functional recovery of the nerve. Ultrasound was used to examine longitudinal median nerve sliding in 10 patients who had previously undergone nerve repair surgery following complete division of the median nerve. The median longitudinal movement in the forearm in response to metacarpophalangeal (MCP) joint movements was 2.15 mm on the injured side, compared with 2.54 mm on the uninjured side, a difference that was significant. There was a significant reduction in nerve sliding following repair (median = 8%, range -8% to 54%; P = 0.02), which correlated with time from injury to surgery (rho = 0.87; P = 0.001). These results indicate that ultrasound can be used as an adjunct assessment tool to monitor both morphology and sliding of the nerve through the repair site. It may have future application in the investigation of patients with persisting functional impairment following primary nerve repair.

History

Publication status

  • Published

Journal

Muscle and Nerve

ISSN

1097-4598

Publisher

Wiley

Issue

3

Volume

41

Page range

350-354

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2012-10-31

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