Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by OGINO, T.
Right arrow Articles by OHNISHI, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by OGINO, T.
Right arrow Articles by OHNISHI, N.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Accessory Nerve Injury: Conservative or Surgical Treatment?

T. OGINO
M. SUGAWARA
A. MINAMI
H. KATO
N. OHNISHI

From the Department of Physical Therapy, School of Allied Health Professions, Sapporo Medical College, Department of Orthopaedic Surgery, Aiiku Hospital, and Department of Orthopaedic Surgery, School of Medicine, Hokkaido University, Japan

Correspondence: Toshihiko Ogino, Department of Physical Therapy, School of Allied Health Professions, Sapporo Medical College, Japan.

In order to clarify the functional prognosis of accessory nerve injury after nerve repair and non-surgical treatment, 27 of our cases with accessory nerve injury were studied. 20 cases were followed up for more than 8 months. In ten cases treated conservatively, the dull feeling and hypaesthesia did not improve. However, pain and dysfunction of the shoulder improved in half of these cases. In ten cases treated surgically, nerve suture was performed in two cases, nerve graft in five cases and neurolysis in three cases. In the surgically treated group, subjective complaints disappeared in all cases, but hypaesthesia or contracture of the shoulder persisted in three cases. Surgical treatment of the accessory nerve is recommended in fresh cases with complete paralysis and in cases in which there is no sign of nerve recovery within one year after the original injury.

Journal of Hand Surgery (British and European Volume), Vol. 16, No. 5, 531-536 (1991)
DOI: 10.1016/0266-7681(91)90109-2
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?