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Upper extremity nerve injuries: the significance of soft tissue associations

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Author(s): Tuncali D | Toksoy K | Tan Baser N | Terzioglu A | Aslan G

Journal: Neuroanatomy
ISSN 1303-1783

Volume: 3;
Issue: 1;
Start page: 15;
Date: 2004;
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Keywords: anatomy | neuroanatomy | peripheral | nerve | soft | tissue | injury | upper | extremity

ABSTRACT
The morbidity and social cost is found to be very high for upper extremity nerve injuries.Despite the fast advances in scientific studies and technology, a complete recovery followingperipheral nerve injuries is still not possible, though, comprehensible progression in this fieldis obtained especially following microsurgery techniques. The aim of this study, is to presentthe anatomical locations of upper extremity nerve injuries treated in our clinic and therelationship between nerve injuries with other vital organ and soft tissue injuries. 111 patientswith 134 nerve injuries treated in our clinic between January 2001 and December 2003were included in this study. A high association of soft tissue injuries was found for all nervetypes. The functional deficits observed following upper extremity nerve injuries, generatedeep marks on the psychosocial life of the patients. It is a known fact that, an accompanyingmuscle, tendon or artery injury reveals a worse prognosis. It is clearly observed from ourstudy that an isolated nerve injury is an exception than a rule. This should be a major concernwhen consequences of upper extremity injuries and the results of treatments are beingevaluated. The accompanying soft tissue injuries may overall change the fate of an otherwisesuccessful nerve repair.
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Tango Jona
Tangokurs Rapperswil-Jona