Restoration of sensibility in irreparable ulnar and median nerve lesions with use of sensory nerve transfer: Long-term follow-up of 20 cases

2001 ◽  
Vol 26 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Türker Özkan ◽  
Kağan Özer ◽  
Ayan Gülgönen
Keyword(s):  
Median Nerve ◽  
Sensory Nerve ◽  
Nerve Transfer ◽  
Nerve Lesions ◽  
Long Term Follow Up ◽  
Restoration Of Sensibility

Repair of a median nerve transection injury using multiple nerve transfers, with long-term functional recovery

2012 ◽  
Vol 117 (5) ◽  
pp. 886-889 ◽  
Author(s):  
Rory K. J. Murphy ◽  
Wilson Z. Ray ◽  
Susan E. Mackinnon
Keyword(s):  
Median Nerve ◽  
Motor Function ◽  
Hand Function ◽  
Nerve Transfers ◽  
Anterior Interosseous Nerve ◽  
Long Term Follow Up ◽  
Pain Symptoms ◽  
Extensor Carpi Radialis

Complete loss of median nerve motor function is a rare but devastating injury. Loss of median motor hand function and upper-extremity pronation can significantly impact a patient's ability to perform many activities of daily living independently. The authors report the long-term follow-up in a case of median nerve motor fiber transection that occurred during an arthroscopic elbow procedure, which was then treated with multiple nerve transfers. Motor reconstruction used the nerves to the supinator and extensor carpi radialis brevis to transfer to the anterior interosseous nerve and pronator. Sensory sensation was restored using the lateral antebrachial cutaneous (LABC) nerve to transfer to a portion of the sensory component of the median nerve, and a second cable of LABC nerve as a direct median nerve sensory graft. The patient ultimately recovered near normal motor function of the median nerve, but had persistent pain symptoms 4 years postinjury.

Lipofibromas of the median nerve: Long-term follow-up of four cases

1985 ◽  
Vol 10 (3) ◽  
pp. 403-408 ◽  
Author(s):  
Dean S. Louis ◽  
Fred M. Hankin ◽  
Thomas L. Greene ◽  
Harold M. Dick
Keyword(s):  
Median Nerve ◽  
Long Term Follow Up

Cerebral changes after injury to the median nerve: A long-term follow up

2012 ◽  
Vol 46 (2) ◽  
pp. 106-112 ◽  
Author(s):  
Birgitta Rosén ◽  
Anette Chemnitz ◽  
Andreas Weibull ◽  
Gert Andersson ◽  
Lars B. Dahlin ◽  
...  
Keyword(s):  
Median Nerve ◽  
Long Term Follow Up

Median Nerve Function After Tendon Transfer For Ulnar Paralysis

1985 ◽  
Vol 10 (1) ◽  
pp. 30-32 ◽  
Author(s):  
J. W. BRANDSMA ◽  
P. W. BRAND
Keyword(s):  
Median Nerve ◽  
Carpal Tunnel ◽  
Follow Up Study ◽  
Median Nerve Palsy ◽  
The Status ◽  
Leprosy Patients ◽  
Long Term Follow Up ◽  
Tendon Grafts

This is a long term follow-up study of the median nerves of 128 leprosy patients who originally had pure ulnar palsy for which they had tendon transfers to correct claw hand. Of the thirty-one cases in which the carpal tunnel was not used as a pathway for tendon grafts, 16% developed median palsy in the subsequent years. Of the ninety-seven cases in which tendon grafts were passed through the carpal tunnel, 7% developed a transient median nerve palsy and 11% developed permanent median palsy. None of the median nerve palsies developed during the weeks or months of post-operative re-education or observation, but were noted at follow-up visits months or years later. It is concluded that the use of the carpal tunnel did not significantly affect the status of those high-risk median nerves in cases of leprosy.

Long-Term Results Of Ulnar To Median Nerve Pedicle Grafts

HAND ◽  
1978 ◽  
Vol os-10 (1) ◽  
pp. 61-64 ◽  
Author(s):  
E. K. Alpar ◽  
D. M. Brooks
Keyword(s):  
Developing Countries ◽  
Median Nerve ◽  
Upper Limb ◽  
Hand Function ◽  
Motor Recovery ◽  
Long Term Results ◽  
Long Term Follow Up

Summary Nerve pedicle grafts in the upper limb were performed on nine patients with Volkmann's Ischaemia. Long-term follow-up of three cases has shown that the results of this operation are successful. Sensory and motor recovery of the median nerve occurs and consequently useful hand function is regained. Since Volkmann's Ischaemic contracture is not rare in developing countries, this operation should be the treatment of choice when the median and ulnar nerves have been damaged beyond hope of recovery.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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