Wilgis E F
Clin Orthop Relat Res. 1982 Mar(163):8-14.
The diagnosis of a peripheral nerve loss is an exacting clinical procedure. This requires a basic knowledge of anatomy, including the variations and anomalies. This also includes various specific tests, such as testing for vibratory sensibility with tuning forks, the presence or absence of sweating, the evaluation of sensibility with two-point discrimination, and the von Frey pressure test. Motor function should be evaluated as to both quantity and quality of impairment. The indications for blocking adjacent nerves with local anesthetic agent are defined and cannot be overemphasized. Electrodiagnostic studies and vascular testing are important for a complete clinical evaluation. The significance of the interrelationship between the nervous system and the vascular system and their relationship in assessing end results should be considered on an individual basis in every case.
外周神经损伤的诊断是一项严谨的临床操作。这需要具备解剖学基础知识，包括变异和异常情况。这还包括各种特定检查，如用音叉测试振动觉、有无出汗、用两点辨别法评估感觉以及进行冯·弗雷压力测试。应从损伤的数量和质量两方面评估运动功能。用局部麻醉剂阻滞相邻神经的指征已明确，且其重要性无论如何强调都不为过。电诊断研究和血管检查对于全面的临床评估很重要。在每个病例中，都应根据个体情况考虑神经系统与血管系统之间相互关系的意义及其在评估最终结果中的关系。
