This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by GOLDIE, B. S. Articles by BIRCH, R. Search for Related Content PubMed PubMed Citation Articles by GOLDIE, B. S. Articles by BIRCH, R. Social Bookmarking                         What's this?

The Long Term Result of Digital Nerve Repair in No-Man’s Land

From the Department of Orthopaedic Surgery, St Mary’s Hospital, London

Correspondence: Mr B. S. Goldie F.R.C.S., Department of Orthopaedic & Traumatic Surgery, The Royal London Hospital, Whitechapel, London, El lBB.

30 isolated lesions of digital nerves which had been repaired by microsurgical techniques were examined in 27 patients. The average length of follow-up was 25 months (range: 12–48 months). Patients were assessed subjectively using a visual analogue scale and examined for light touch, pain, two-point discrimination, electrical conductance and sensory threshold. Although 37% of fingers regained normal two-point discrimination, only 27% of patients graded their overall result as excellent and 40% complained of persistent hyperaesthesia for up to two years. None felt that their finger had regained normal sensation. All patients undergoing digital nerve repair should be warned that hyperaesthesia may persist for several years and that an adult will never regain normal sensation.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 1, 75-77 (1992)
DOI: 10.1016/0266-7681(92)90016-U


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?