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

Erel, Ertan, Dilley, Andrew, Turner, Sarah, Kumar, Prem, Bhatti, Waqar A and Lees, Vivien C (2010) Sonographic measurements of longitudinal median nerve sliding in patients following nerve repair. Muscle and Nerve, 41 (3). pp. 350-354. ISSN 1097-4598

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Abstract

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.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Brighton and Sussex Medical School > Division of Medical Education
Subjects: R Medicine > RC Internal medicine > RC0321 Neurosciences. Biological psychiatry. Neuropsychiatry
Depositing User: Ellen Thomas
Date Deposited: 31 Oct 2012 16:02
Last Modified: 25 Sep 2017 09:06
URI: http://sro.sussex.ac.uk/id/eprint/41076
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