Management of peripheral nerve injuries of the hand

Stephen L. Henry, Warren C Breidenbach

Research output: Contribution to journalArticle

Abstract

The purpose of this article is to outline the basic approach to the management of nerve injuries in the hand, which requires a thorough understanding of the pathophysiology of peripheral nerve injury and axonal response. Therefore, the basic concepts in peripheral nerve, interfascicular topographic anatomy are reviewed, and the role of epineurium, perineurium, and endoneurium in maintaining intraneural environment is outlined. The Seddon and Sunderland systems of classifying nerve injury are compared, and how categorizing nerve injury helps determine treatment and predict prognosis is discussed. The different methods of nerve repair — epineurial, fascicular, and group fascicular repair — are reviewed. Likewise, methods of nerve grafting for management of nerve gaps are outlined. Postoperative treatment regimens of appropriate periods of immobilization, neurologic testing, and physiotherapy are also defined.

Original languageEnglish (US)
Pages (from-to)84-89
Number of pages6
JournalTechniques in Orthopaedics
Volume1
Issue number2
StatePublished - 1986
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Management of peripheral nerve injuries of the hand'. Together they form a unique fingerprint.

  • Cite this