Phelps P E, Walker E
Am J Occup Ther. 1977 Oct;31(9):565-72.
The phenomenon that denervated skin does not wrinkle or shrivel like normal palmar skin after soaking in water was investigated. Forty-one patients with complete or partial peripheral nerve lacerations or traumatic nerve compressions were given a battery of tests to evaluate sensory and motor function. The results from patients' wrinkle tests were compared with the findings from their two-point discrimination and ninhydrin sweat tests. Twenty four patients with recent complete peripheral nerve injuries demonstrated an absence of finger wrinkling, two-point discrimination, and sweating over the cutaneous distribution of the damaged nerve. Nine patients with partial nerve lacerations demonstrated varied results depending upon the amount and location of the nerve injury. Eight patients with nerve compressions continued to wrinkle and sweat even when two-point discrimination was decreased or absent. These findings indicate that only in patients with a recent complete peripheral nerve lesion does an absence of wrinkling always correspond with a loss of other sensory modalities. The presence of wrinkling in a patient with a nerve compression does not correlate with the patient's sensory modalities.
对失神经支配的皮肤在浸泡于水中后不会像正常手掌皮肤那样起皱或收缩的现象进行了研究。41例患有完全或部分周围神经撕裂伤或创伤性神经压迫的患者接受了一系列测试，以评估感觉和运动功能。将患者的起皱测试结果与其两点辨别觉和茚三酮汗液测试结果进行了比较。24例近期发生完全性周围神经损伤的患者表现为手指不起皱、两点辨别觉缺失以及受损神经皮肤分布区域无出汗。9例部分神经撕裂伤患者的结果因神经损伤的程度和部位而异。8例神经受压患者即使两点辨别觉降低或缺失仍会起皱和出汗。这些发现表明，只有在近期发生完全性周围神经损伤的患者中，不起皱才总是与其他感觉方式的丧失相对应。神经受压患者的起皱情况与患者的感觉方式无关。
