Dellon A L
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Clin Plast Surg. 1989 Jul;16(3):617-27.
Upper extremity reconstruction may be greatly facilitated by "thinking nerve" in the initial evaluation. Frequently, the obvious soft tissue deformity or bone or joint pathology distracts the reconstructive surgeon from an underlying nerve problem. When pain is a portion of the presenting complaints, thinking nerve becomes more obvious. This article attempts to direct the reconstructive surgeon approaching the upper extremity to look for underlying nerve injury in the region of a damaged wrist capsule, neuromas of the cutaneous nerve, and sites of nerve entrapment.
在初始评估中“考虑神经因素”可极大地促进上肢重建。通常，明显的软组织畸形或骨骼或关节病变会使重建外科医生忽略潜在的神经问题。当疼痛是主要症状之一时，考虑神经因素就变得更加重要。本文旨在指导处理上肢问题的重建外科医生，在受损腕关节囊区域、皮神经神经瘤以及神经卡压部位寻找潜在的神经损伤。
