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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 LeesNerve 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 NerveISSN
1097-4598Publisher
WileyExternal DOI
Issue
3Volume
41Page range
350-354Department affiliated with
- Clinical and Experimental Medicine Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2012-10-31Usage metrics
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