Hansson Thomas, Povlsen Bo
Department of Plastic Surgery, Hand Surgery & Burns, University Hospital, Linköping, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 2005;39(5):261-7. doi: 10.1080/0284431051006420.
Tracer studies on motor axons after nerve crush injuries have indicated that misrouting may occur even when the endoneurium is intact. Misrouting of regenerated polymodal nociceptive C-fibres and low threshold mechanoreceptive axons have been studied functionally in 50 rats three months after unilateral crush lesions to the sciatic nerve. Two weeks before evaluation the tibial fascicle (or the peroneal fascicle) above the lesion was cut and tied off. In this way only functional regeneration of misrouted axons was tested. Misrouted low threshold mechanoreceptive axons and polymodal nociceptor C-fibres were found after regeneration in both glabrous and hairy skin. We conclude that functional misdirection of both myelinated and unmyelinated sensory axons innervating either glabrous or hairy skin can occur after a crush lesion to a peripheral nerve in rats.
对神经挤压伤后运动轴突的示踪研究表明,即使神经内膜完整,也可能发生误行。在50只大鼠单侧坐骨神经挤压损伤三个月后,对再生的多模式伤害性C纤维和低阈值机械感受性轴突的误行进行了功能研究。在评估前两周,将损伤上方的胫束(或腓束)切断并结扎。通过这种方式,仅测试了误行轴突的功能再生。在无毛和有毛皮肤再生后均发现了误行的低阈值机械感受性轴突和多模式伤害感受器C纤维。我们得出结论,大鼠外周神经挤压损伤后,支配无毛或有毛皮肤的有髓和无髓感觉轴突都可能发生功能误向。