Presentation
The authors present a meta-analysis based on individual patient data on motor and sensory recovery after microsurgical nerve repair. [insights.ovid.com]
Dissemination of study results is broad and includes publication in scientific literature, the ASA newsletter, as well as presentations at national and international meetings. [aqihq.org]
Although costs of injury associated with disruption of function and productivity are typically greater for a younger individual, that person also has a greater chance of functional recovery from treatment than an older patient with similar presentation [ncbi.nlm.nih.gov]
None of the neuropathies were present within the first 2 postoperative days. Although more than one half of these neuropathies resolved within 6 weeks, the rest were still present 2 yr after they developed. [anesthesiology.pubs.asahq.org]
Entire Body System
- Weakness
Classification Grade 1 : Purely subjective symptoms and mild hypaesthesia Grade 2 : Sensory loss and weakness of intrinsic hand muscles, with or without slight wasting Grade 3 : Severe sensorimotor deficit Explanation Provide an explanation for key principles [orthopaedicsone.com]
Weakness of adduction of the thumb, which may be assessed by the presence of Froment's sign. [en.wikipedia.org]
Any or all of the following findings defined the condition: current symptoms of paresthesias in the ulnar distribution, signs of abnormal two-point discrimination in the volar surface of the distal fifth digit, or weakness of the first dorsal interosseous [anesthesiology.pubs.asahq.org]
He's also complained of general weakness in his hand. [eu.tennessean.com]
Musculoskeletal
- Fracture
Injury of the ulnar nerve at different levels causes specific motor and sensory deficits: At the elbow Common mechanisms of injury : Cubital tunnel syndrome, fracture of the medial epicondyle of the humerus (causing direct ulnar nerve injury), fracture [en.wikipedia.org]
Shock wave therapy as a treatment of nonunions, avascular necrosis, and delayed healing of stress fractures. Foot and ankle clinics 2010; 15(4): 651-662. [ Links ] 11. B Barco, Raul & Antuña, Samuel. Medial elbow pain. [scielo.org.pe]
Radial nerve injuries associated with humeral fractures. J Hand Surg Am. 2006; 31 :655–63. [ PubMed ] [ Google Scholar ] 4. Chemnitz A, Björkman A, Dahlin LB, Rosén B. [ncbi.nlm.nih.gov]
Specifically, research assistants asked about preexisting numbness or tingling of their hands; previous carpal tunnel surgery; neck problems; arm or wrist fractures; the presence of diabetes for which they took insulin or oral hypoglycemic agents; their [anesthesiology.pubs.asahq.org]
- Elbow Pain
A thorough understanding of ulnar nerve anatomy, throwing biomechanics, and clinical acumen are necessary to appropriately care for the overhead athlete with elbow pain. [journals.lww.com]
The biggest concern a pitcher has when they experience elbow pain is damage to the ulnar collateral ligament, which would require Tommy John surgery. [progressivespineandsports.com]
Medial elbow pain. EFORT Open Rev. 2017; 2 (8): 362-371. [ Links ] 12. Menorca RMG, Fussell TS, Elfar JC. Peripheral nerve trauma: mechanisms of injury and recovery. Hand Clin. 2013; 29: 317-330. [ Links ] 13. [scielo.org.pe]
Treatment
We look forward to being your #1 solution for nonsurgical pain treatment.` [progressivespineandsports.com]
The Role of Extracorporeal Shockwave Treatment in Musculoskeletal Disorders. JBJS 2018; 100: 251. [ Links ] 3. Shim JS, Chung SG, Bang H, Lee HJ, Kim K. Ulnar neuropathy after extracorporeal shockwave therapy: a case report. [scielo.org.pe]
Surgical treatment options for ulnar neuritis include neurolysis, medial epicondylectomy, or anterior transposition (submuscular, intramuscular, or subcutaneous). [journals.lww.com]
Establishing and evaluating the effectiveness of treatment modalities is, therefore, central to mitigating the socioeconomic impact of these disorders. [ncbi.nlm.nih.gov]
Nerve conduction studies and needle electromyography were used at the discretion of the neurologist to confirm the diagnosis and guide treatment. [anesthesiology.pubs.asahq.org]
Prognosis
In this individual patient data meta-analysis, age, site, injured nerve, and delay significantly influenced prognosis after microsurgical repair of median and ulnar nerve injuries. [insights.ovid.com]
However, despite numerous published reports on peripheral nerve repair, there is no agreement on which variables are independent predictors of a successful prognosis, and the effect of the predictors is not quantified. [ncbi.nlm.nih.gov]
Etiology
Our findings suggest that detailed neurologic and anatomic evaluations of the ulnar nerves of this group of men will be useful in more extensive future studies that are designed to evaluate etiologic factors for this problem. [anesthesiology.pubs.asahq.org]
Pathophysiology
Compressive Neuropathies of the Upper Extremity: Update on Pathophysiology, Classification, and Electrodiagnostic Findings. The Journal of hand surgery. 2010; 35: 668-77. [ Links ] 14. Hausdorf J, Lemmens MA, Heck KD, et al. [scielo.org.pe]
Despite progress in understanding the pathophysiology of PNI, these lesions remain a major challenge for surgeons, and functional recovery is often unsatisfactory. [ncbi.nlm.nih.gov]
Prevention
The goal of the Anesthesia Closed Claims Project is to identify major safety concerns, patterns of injury and strategies for prevention for anesthesiologists working in pain management, operating rooms, labor floor, remote locations and critical care. [aqihq.org]
The brace keeps your elbow fully extended to prevent bending it and causing compression of the ulnar nerve. If these conservative treatments do not work, surgery is usually recommended. Typically there are two options. [progressivespineandsports.com]
In severe cases, surgery may be performed to relocate or "release" the nerve to prevent further injury. Additional images [ edit ] Brachial plexus with courses of spinal nerves shown Cross-section through the middle of upper arm. [en.wikipedia.org]
Can J Anaesth 1992; 39:499-503 Stoelting RK: Postoperative ulnar nerve palsy: Is it a preventable complication? Anesth Analg 1993; 76:7-9 Kroll DA, Caplan RA, Posner K, Ward RJ, Cheney FW: Nerve injury associated with anesthesia. [anesthesiology.pubs.asahq.org]