Tajima T, Imai H
Department of Orthopedic Surgery, Niigata University School of Medicine, Japan.
Microsurgery. 1989;10(2):145-6. doi: 10.1002/micr.1920100217.
Seven children ranging in age from 1 to 13 years (mean 8 years) were evaluated at a range of 8 months to 15 years (mean 4.7 years) following group fascicular repair of the median nerve at the wrist following a sharp transection of the nerve. At the follow-up evaluation, they were measured with Semmes-Weinstein nylon monofilaments, moving and static two-point discrimination, and were judged for the presence or absence of paresthesias in their hands. The children did not receive sensory reeducation in the postoperative period. All children recovered to normal levels of moving and static two-point discrimination and were free from disabling paresthesias. These results are contrasted with a group of similar nerve injuries in adult patients treated in the same way and over the same period of time. It is concluded that the capacity for peripheral neural regeneration and cerebral plasticity in children is such that excellent recovery of functional sensation in the hand can occur without the need for sensory reeducation.
7名年龄在1至13岁（平均8岁）的儿童在腕部正中神经锐器横断伤后接受了束组修复，随访时间为8个月至15年（平均4.7年）。在随访评估中，使用Semmes-Weinstein尼龙单丝、动态和静态两点辨别法对他们进行测量，并判断其手部是否存在感觉异常。这些儿童在术后未接受感觉再训练。所有儿童的动态和静态两点辨别能力均恢复到正常水平，且无致残性感觉异常。这些结果与同期以相同方式治疗的成年患者的一组类似神经损伤情况形成对比。结论是，儿童外周神经再生和脑可塑性的能力使得手部功能感觉能够实现极佳恢复，而无需感觉再训练。
