St. Louis, Mo. From the Division of Plastic Surgery, Washington University School of Medicine.
Plast Reconstr Surg. 2011 May;127(5):105e-118e. doi: 10.1097/PRS.0b013e31820cf556.
After reading this article, the participant should be able to: 1. Describe the pathophysiologic bases for nerve injury and how they apply to patient evaluation and management. 2. Recognize the wide variety of injury patterns and associated patient complaints and physical findings associated with peripheral nerve pathology. 3. Evaluate and recommend further tests to aid in defining the diagnosis. 4. Specify treatment options and potential risks and benefits.
Peripheral nerve disorders comprise a gamut of problems, ranging from entrapment neuropathy to direct open traumatic injury and closed brachial plexus injury. The pathophysiology of injury defines the patient's symptoms, examination findings, and treatment options and is critical to accurate diagnosis and treatment. The goals of treatment include management of the often associated pain and improvement of sensory and motor function. Understanding peripheral nerve anatomy is critical to adopting novel nerve transfer procedures, which may provide superior options for a variety of injury patterns.
阅读本文后，学员应能够：1. 描述神经损伤的病理生理基础及其在患者评估和管理中的应用。2. 认识到与周围神经病理相关的各种损伤模式以及相关的患者主诉和体格检查发现。3. 评估并建议进一步的检查以帮助确定诊断。4. 指定治疗方案以及潜在的风险和益处。
周围神经疾病包括一系列问题，从神经卡压综合征到直接的开放性创伤性损伤和闭合性臂丛损伤。损伤的病理生理学决定了患者的症状、检查结果以及治疗选择，对于准确的诊断和治疗至关重要。治疗的目标包括管理通常相关的疼痛以及改善感觉和运动功能。理解周围神经解剖结构对于采用新型神经转移手术至关重要，这些手术可为各种损伤模式提供更好的选择。
