Evaluation of iatrogenic lesions in 722 surgically treated cases of peripheral nerve trauma

Kretschmer, Thomas; Antoniadis, Gregor; Braun, Veit; Rath, Stefan; Richter, Hans-Peter

doi:10.3171/jns.2001.94.6.0905

Cited by 171 publications

(114 citation statements)

References 20 publications

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“…Many of the patients with iatrogenic lesions were not seen within a time frame conducive to surgical management; of those who did have surgery, some improvement occurred in 70%. One of the major causes of poor outcome in patients with iatrogenic lesions is delayed referral to a surgeon with peripheral nerve expertise (Kretschmer et al, 2001). There are many studies examining outcomes in carpal tunnel syndrome using different surgical techniques (Thoma et al, 2004).…”

Section: Outcomes Of Surgery For Traumatic Nerve Injurymentioning

confidence: 99%

Evaluation and management of peripheral nerve injury

Campbell

2008

Clinical Neurophysiology

589

462

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Common etiologies of acute traumatic peripheral nerve injury (TPNI) include penetrating injury, crush, stretch, and ischemia. Management of TPNI requires familiarity with the relevant anatomy, pathology, pathophysiology, and the surgical principles, approaches and concerns. Surgical repair of TPNI is done at varying time intervals after the injury, and there are a number of considerations in deciding whether and when to operate. In neurapraxia, the compound muscle and nerve action potentials on stimulating distal to the lesion are maintained indefinitely; stimulation above the lesion reveals partial or complete conduction block. The picture in axonotmesis and neurotmesis depends on the time since injury. The optimal timing for an electrodiagnostic study depends upon the clinical question being asked. Although conventional teaching usually holds that an electrodiagnostic study should not be done until about 3 weeks after the injury, in fact a great deal of important information can be obtained by studies done in the first week. Proximal nerve injuries are problematic because the long distance makes it difficult to reinnervate distal muscles before irreversible changes occur. Decision making regarding exploration must occur more quickly, and exploration using intraoperative nerve action potential recording to guide the choice of surgical procedure is often useful.

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Section: Outcomes Of Surgery For Traumatic Nerve Injurymentioning

confidence: 99%

Evaluation and management of peripheral nerve injury

Campbell

2008

Clinical Neurophysiology

589

462

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“…Samarakoon et al, indicate that superficial position of the SBRN is vulnerable to injury during this procedure. Kretschmer et al (2001) indicate that the SBRN is the third most injured peripheral nerve, after accessory and common fibular nerves. This injury may be the result of fractures, lacerations, sustained pressure or may be iatrogenic (Robson et al).…”

Section: Anatomical Snuffbox Uses and Clinical Significancementioning

confidence: 99%

Anatomical Snuffbox and it Clinical Significance: A Literature Review

Cerda

Sol

2015

Int. J. Morphol.

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SUMMARY:The anatomical snuffbox is a small triangular area situated in the radial part of the wrist, often used to perform clinical and surgical procedures. Despite the frequency with which this area is used, there is scarce information in literature about its details. The objective of this study is detailed knowledge of the anatomical snuffbox's anatomy and its components, the reported alterations at this portion, besides the clinical uses and significance of this area.

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“…though they are rare. 26,27,[30][31][32] Figure 7 shows the result of such a resection of the combined tumor and parent nerve: a 4-cm portion of the common peroneal nerve at the knee and above was eradicated. As can be seen from the stump configuration, this procedure must have been performed in a rather blunt fashion.…”

Section: Reconstruction After Inappropriate Tumor Removalmentioning

confidence: 99%

Nerve sheath tumor surgery: case-guided discussion of ambiguous findings, appropriateness of removal, repeated surgery, and nerve repairs

Kretschmer

Antoniadis

Heinen

et al. 2007

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✓In this article the authors attempt to raise awareness of the pitfalls and controversial issues in nerve tumor surgery. In a case-guided format, examples of ambiguous findings, inappropriate tumor removal, repeated surgery, and nerve repairs are provided. The authors also discuss the need to establish a correct diagnosis preoperatively and to avoid the erroneous identification of malignant peripheral nerve sheath tumors (MPNSTs). They emphasize that not all of the principles of soft tissue sarcoma treatment protocols are applicable to MPNST. A situation of repeated surgery for supposedly malignant tumor is described, and an outline of the indications for, and an approach to, repair after lesion removal is given.

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Evaluation of iatrogenic lesions in 722 surgically treated cases of peripheral nerve trauma

Abstract: latrogenic injuries should be corrected in a timely fashion just like any other traumatic injury to nerve.

Cited by 171 publications

References 20 publications

Evaluation and management of peripheral nerve injury

Evaluation and management of peripheral nerve injury

Anatomical Snuffbox and it Clinical Significance: A Literature Review

Nerve sheath tumor surgery: case-guided discussion of ambiguous findings, appropriateness of removal, repeated surgery, and nerve repairs

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