keyword
https://read.qxmd.com/read/38534081/trends-and-insights-review-nerve-procedures-in-the-management-of-upper-limb-spasticity
#1
REVIEW
Caroline Leclercq, Patrick Mertens
This article reviews the recent advances or nerve-oriented surgical procedures in the treatment of the spastic upper limb. The idea to intervene on the nerve is not recent, but new trends have developed in nerve surgery over the past few years, stimulating experiments and research. Specific surgical procedures involving the nerves have been described at different levels from proximal to distal: at the cervical spinal cord and the dorsal root entry zone (rhizotomy), at the level of the roots (contralateral C7 transfer) or in the peripheral nerve, within the motor trunk (selective neurectomy) or as its branches penetrate the muscles (hyperselective neurectomy)...
March 27, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38534080/an-algorithmic-approach-to-the-management-of-peripheral-nerve-tumours
#2
REVIEW
Tim Hems, Antonina Parafioriti, Binu P Thomas, Andrea Di Bernardo
This article reviews the pathology and management of peripheral nerve tumours, including a framework for investigation and decision-making. Most tumours are benign, including schwannomas and neurofibromas, but malignant peripheral nerve sheath tumours can occur. The risk of malignant change is remote for schwannomas but higher for neurofibromas, particularly in neurofibromatosis type 1. Magnetic resonance imaging is useful for defining the relationship of a swelling with adjacent nerves but is not definitive for tissue diagnosis...
March 27, 2024: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38527351/a-systematic-review-of-registered-clinical-trials-for-peripheral-nerve-injuries
#3
JOURNAL ARTICLE
Ala Elhelali, Sami Tuffaha
Upper extremity peripheral nerve injuries (PNIs) significantly impact daily functionality and necessitate effective treatment strategies. Clinical trials play a crucial role in developing these strategies. However, challenges like retrospective data collection, reporting biases, inconsistent outcome measures, and inadequate data sharing practices hinder effective research and treatment advancements. This review aims to analyze the landscape of reporting, methodological design, outcome measures, and data sharing practices in registered clinical trials concerning upper extremity PNIs...
April 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38527350/combined-targeted-muscle-reinnervation-with-regenerative-peripheral-nerve-interfaces-decreases-long-term-narcotic-use-in-amputees-a-case-control-study
#4
JOURNAL ARTICLE
Corinne Wee, Samuel Boas, Cristin Coquillard, Yida Cai, David Kurlander, Samantha Maasarani, Tripp Leavitt, Tobias Long, Kyle Lineberry, Joseph Khouri
PURPOSE: Combined targeted muscle reinnervation with regenerative peripheral nerve interfaces ("TMRpni") is a recently described nerve management strategy that leverages beneficial elements of targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI) techniques. This study aimed to evaluate the effect of TMRpni on long-term opioid consumption after amputation. We hypothesize that TMRpni decreases chronic opioid consumption in amputees. METHODS: This is a retrospective cohort study of all patients who underwent TMRpni between 2019 and 2021...
April 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38517315/research-advancements-on-nerve-guide-conduits-for-nerve-injury-repair
#5
REVIEW
Shoushuai Wang, Xinggui Wen, Zheyuan Fan, Xiangdong Ding, Qianqian Wang, Zhongling Liu, Wei Yu
Peripheral nerve injury (PNI) is one of the most serious causes of disability and loss of work capacity of younger individuals. Although PNS has a certain degree of regeneration, there are still challenges like disordered growth, neuroma formation, and incomplete regeneration. Regarding the management of PNI, conventional methods such as surgery, pharmacotherapy, and rehabilitative therapy. Treatment strategies vary depending on the severity of the injury. While for the long nerve defect, autologous nerve grafting is commonly recognized as the preferred surgical approach...
March 25, 2024: Reviews in the Neurosciences
https://read.qxmd.com/read/38516471/the-efficacy-of-trigger-site-surgery-in-the-elimination-of-chronic-migraine-headache-an-update-in-the-rate-of-success-and-failure
#6
REVIEW
Eyad Faizo, Ahmad Fallata, Iman Mirza, Ahmed K Koshak, Yasmeen T Bucklain, Reema Alharbi, Abdulrahman Tasji, Taha Tasji, Ahmed Kabbarah
Migraine headache (MH) is a prevalent neurovascular disorder that affects approximately 15% of the global population. They are more common in women and typically affect young and middle-aged individuals. Chronic MH is characterized by headaches occurring on ≥15 days per month for over three months. While only 5% of MHs are refractory, about 20%-50% do not respond to pharmacologic treatments. As a result, surgical interventions have emerged as an alternative method to eliminate MH since 2000 AD. These surgical treatments primarily target the peripheral mechanisms of MH, focusing on common trigger sites...
February 2024: Curēus
https://read.qxmd.com/read/38513152/intercalary-resection-of-the-tibia-for-primary-bone-tumors-are-vascularized-fibula-autografts-with-or-without-allografts-a-durable-reconstruction
#7
JOURNAL ARTICLE
Domenico Andrea Campanacci, Roberto Scanferla, Mariagrazia Marsico, Federico Scolari, Guido Scoccianti, Giovanni Beltrami, Luca Delcroix, Marco Innocenti, Rodolfo Capanna
BACKGROUND: Reconstruction with vascularized fibula grafts (VFG) after intercalary resection of sarcoma may offer longevity by providing early graft-host union and fracture healing. The ability of the fibula to hypertrophy under mechanical stress, as well as vascularized bone in the area, may also be advantageous, given that soft tissues may be compromised because of resection, chemotherapy, or radiation therapy. VFG with a massive allograft combines the primary mechanical stability of the graft with the biological potential of the vascularized fibula; however, complications and the durability of this combined reconstruction are not well described...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38512321/adjunctive-effect-of-photobiomodulation-therapy-with-nd-yag-laser-in-the-treatment-of-inferior-alveolar-nerve-paresthesia
#8
JOURNAL ARTICLE
Javad Yazdani, Hosein Eslami, MohamadAli Ghavimi, Meghdad Eslami
Background : Disruption of peripheral branches of the trigeminal nerve in the field of maxillofacial surgery is a known risk due to the close connection of these branches with the bony structures of the maxilla and mandible. As a result, injuries of the lingual nerve and inferior alveolar nerve take place within routine maxillofacial surgery procedures, including local anesthetic injection, wisdom tooth surgery, and dental implant placement, resulting in paresthesia and dysesthesia. During the last three decades, low-level lasers (LLL) have been frequently used in various medical fields...
March 2024: Photobiomodulation, photomedicine, and laser surgery
https://read.qxmd.com/read/38511527/objective-evidence-that-nerve-decompression-surgery-reduces-neuropathic-dfu-recurrence-risk-to-less-than-5
#9
JOURNAL ARTICLE
Scott Nickerson, Dwayne S Yamasaki
SCOPE AND SIGNIFICANCE Care for the diabetic foot ulcer (DFU) continues to be a frustrating challenge. Standard of care (SOC) methods are plagued by regrettable levels of delayed healing, failures to heal, recurrence risk, and association with amputations and early mortality.1 We hope to bring attention to the clinical reports observing that diabetes is frequently accompanied by nerve trunk enlargement. Local sites of compression can then occur that cause neural dysfunction and pain, but respond to surgical nerve decompression (ND) and recover a degree of normal function...
March 21, 2024: Advances in Wound Care
https://read.qxmd.com/read/38509493/analysis-of-the-incidence-and-risk-factors-of-blood-transfusion-in-total-knee-revision-a-retrospective-nationwide-inpatient-sample-database-study
#10
JOURNAL ARTICLE
Xiaoyin Li, Hao Xie, Shuxia Liu, Jian Wang, Zhanjun Shi, Qiaobing Yao, Qinfeng Yang, Qiuhong Li, Liangxiao Bao
OBJECTIVE: This study sought to determine the incidence and risk factors of blood transfusion among patients undergoing total knee revision (TKR) using a nationwide database. METHODS: A retrospective data analysis was conducted based on the Nationwide Inpatient Sample (NIS), enrolling patients who underwent TKR from 2010 to 2019 with complete information. The patients were divided into two groups based on whether they received blood transfusion or not. The demographic characteristics (race, sex, and age), length of stay (LOS), total charge of hospitalization, hospital characteristics (admission type, insurance type, bed size, teaching status, location, and region of hospital), hospital mortality, comorbidities, and perioperative complications were analyzed...
March 20, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38508595/peripheral-nerve-blocks-for-through-knee-amputation-in-a-patient-on-extracorporeal-membrane-oxygenation
#11
JOURNAL ARTICLE
Nicholas Seidler, Olivia Terlep, Vendhan Ramanujam
A woman in her 40s with an ischaemic right lower limb, who was on extracorporeal membrane oxygenation (ECMO) following cardiopulmonary failure secondary to bilateral alveolar haemorrhage, was scheduled for through-knee amputation. She was under mechanical ventilation and continuous intravenous medications. Considering her significant comorbidities, peripheral nerve blocks were chosen for anaesthesia. Ultrasound-guided traditional nerve blockade techniques of the femoral and sciatic nerves were not possible because of the presence of an ECMO cannula, altered anatomy following previous surgery on the same side and inability to turn the patient to a lateral position...
March 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38508208/-commentary-on-the-article-of-s-deininger-et-al-functional-outcome-of-peripheral-nerve-injury-after-pediatric-supracondylar-humerus-fracture-comparison-of-surgical-and-conservative-treatment
#12
JOURNAL ARTICLE
Wiebke Hülsemann
No abstract text is available yet for this article.
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38508207/-functional-outcome-of-peripheral-nerve-injury-after-pediatric-supracondylar-humerus-fracture-comparison-of-surgical-and-conservative-treatment
#13
JOURNAL ARTICLE
Stefanie Deininger, Gregor Antoniadis, Maria Teresa Pedro
Supracondylar humerus fractures are the most common elbow fractures in children up to 10 years of age. The incidence of associated nerve injuries varies up to 15% depending on the data. Traumatic and iatrogenic lesions mainly affect the ulnar nerve. The regeneration of peripheral nerves is comparatively better in childhood. In the present study, the functional results after surgical and conservative treatment of nerve injuries in children after supracondylar fractures were compared and analyzed for influencing factors...
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38508204/-not-available
#14
JOURNAL ARTICLE
Anne Carolus, Anne-Kathrin Uerschels
In regard to the complex anatomical relationship of peripheral nerves and muscles, tendons, fasciae as well as their long course within those anatomical structures and additional close contact to bony structures, they are prone to suffer from local compression syndromes. Hence creating a vast majority of entrapment syndromes - well described in literature for almost every single nerve. The purpose of this article is to give an overview of symptoms, signs, diagnostic studies and treatment options, addressing especially the less known syndromes...
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38508203/-interdisciplinary-treatment-of-tumorous-and-tumour-like-lesions-of-peripheral-nerves
#15
JOURNAL ARTICLE
Nora Franziska Dengler, Maria Teresa Pedro, Jonas Kolbenschlag
Tumorous or tumour-like lesions of peripheral nerves are generally rare, heterogeneous and challenging to diagnose and treat. They may become apparent by a palpable swelling (lump) near nerves, sensory and/or motor deficits, pain to touch or neuropathic pain. In 91% of cases, tumours are benign. The differentiation of entities and their characteristics as well as a function-preserving resection strategy are highly relevant. Misdiagnosis and inadequate treatment can lead to severe deficits and pain syndromes...
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38508202/-nerve-surgery-in-german-speaking-countries-starting-with-the-nerve-club-up-to-a-certificate
#16
REVIEW
Hans Assmus, Gregor Antoniadis, Christian Heinen, Ulrich Kneser, Jörg Bahm
We present the Nerve Club, a community of colleagues originating from german-speaking countries and dedicated to those working in or outside surgery with interest in the peripheral nerve. This article reviews the club´s history and specific characteristics and activities, and highlights the concept of a certificate in nerve surgery. We have annual club meetings and organize every two years a plexus symposium. Also exists a scientific publication award and cooperation with an online based journal dedicated to medical publications in the field of nerve surgery...
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38508201/-peripheral-nerve-surgery
#17
JOURNAL ARTICLE
Kai Megerle, Jörg Bahm
No abstract text is available yet for this article.
February 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38506688/comparison-of-radiofrequency-ablation-and-craniotomy-microvascular-decompression-for-treatment-of-hemifacial-spasm
#18
JOURNAL ARTICLE
Huidan Lin, Shun Zhang, Xiang Gao, Lei Wu, Gang Cao, Lina Xuan, Yuyue Xun, Yongqing Liu, Changshun Huang, Bing Huang
BACKGROUND: Hemifacial spasm (HFS) is distinguished by sudden and involuntary spasms of the facial muscles, predominantly on one side of the face. Microvascular decompression (MVD) is an efficacious surgical technique for treating HFS; however, MVD may occasionally lead to noteworthy postoperative complications. Previously, we reported the successful utilization of an innovative awake computed tomography-guided percutaneous puncture of the stylomastoid foramen for administering radiofrequency ablation (RFA) therapy in the treatment of HFS...
March 2024: Pain Physician
https://read.qxmd.com/read/38506390/anesthetic-approach-to-trauma-patients-in-the-city-hospital-after-the-2023-mara%C3%A5-earthquake
#19
JOURNAL ARTICLE
Aylin Kılınçarslan, Ceyda Özhan Caparlar, Müge Çakırca, Fatma Özkan Sipahioğlu, Funda Atar, Selma Ölmez, Nur Yılmaz, Merve Karaşahin, Derya Özkan
BACKGROUND: The February 6, 2023, Kahramanmaraş earthquake caused significant destruction across our country. More than 50,000 people lost their lives, thousands were injured, and health facilities were damaged. Victims were transferred to hospitals in other provinces for treatment. This study evaluates the anesthesia approach applied to the injured who were transferred to our tertiary hospital. METHODS: We retrospectively reviewed the data of patients who underwent surgery between February 6 and February 20, 2023...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38504035/measurements-of-pupillary-unrest-using-infrared-pupillometry-fail-to-detect-changes-in-pain-intensity-in-patients-after-surgery-a-prospective-observational-study
#20
JOURNAL ARTICLE
Matthias Behrends, Merlin D Larson
PURPOSE: The pupil displays chaotic oscillations, also referred to as pupillary unrest in ambient light (PUAL). As pain has previously been shown to increase pupillary unrest, the quantitative assessment of PUAL has been considered a possible tool to identify and quantify pain. Nevertheless, PUAL is affected by various states, such as vigilance, cognitive load, or emotional arousal, independent of pain. Furthermore, systematically applied opioids are known to reduce PUAL, thus potentially limiting its usefulness to detect pain or changes in pain intensity...
March 19, 2024: Canadian Journal of Anaesthesia
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