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• W1990129706 abstract "The Journal of Bone and Joint Surgery. British volumeVol. 83-B, No. 5 Upper LimbFree AccessThe radial and posterior interosseous nervesRESULTS OF 260 REPAIRSG. Shergill, G. Bonney, P. Munshi, R. BirchG. ShergillSpecialist Registrar in OrthopaedicsPeripheral Nerve Injury and Children’s Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.Search for more papers by this author, G. BonneyHonorary Consultant Orthopaedic SurgeonSt Mary’s Hospital, Praed Steet, London W2 1NY, UK.Search for more papers by this author, P. MunshiSpecialist Registrar in OrthopaedicsPeripheral Nerve Injury and Children’s Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.Search for more papers by this author, R. BirchConsultant Orthopaedic SurgeonPeripheral Nerve Injury and Children’s Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.Search for more papers by this authorPublished Online:1 Jul 2001https://doi.org/10.1302/0301-620X.83B5.0830646AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractThe outcome of 260 repairs of the radial and posterior interosseous nerves, graded by Seddon’s modification of the Medical Research Council Special Committee’s system, was analysed according to four patterns of injury; open ‘tidy’, open ‘untidy’, closed traction, and those associated with injury to the axillary or brachial artery. We studied the effect on the outcome of delay in effecting repair and of the length of the defect in the nerve trunk.Of the 242 repairs of the radial nerve we found that 30% had good results and 28% fair; 42% of the repairs had failed. The violence of injury was the most important factor in determining the outcome. Of the open ‘tidy’ repairs, 79% achieved a good or fair result, and 36% of cases with arterial injury also reached this level. Most repairs failed when the defect in the nerve trunk exceeded 10 cm. When the repairs were carried out within 14 days of injury, 49% achieved a good result; only 28% of later repairs did so. All repairs undertaken after 12 months failed. Of the 18 repairs of the posterior interosseous nerve, 16 achieved a good result.FiguresReferencesRelatedDetailsCited byClinical outcomes report in different brachial plexus injury surgeries: a systematic review18 June 2021 | Neurosurgical Review, Vol. 45, No. 1Evidence-Based Approach to Timing of Nerve SurgeryAnnals of Plastic Surgery, Vol. 87, No. 3Prevention and Treatment of Nerve Injuries in Shoulder Arthroplasty11 March 2021 | Journal of Bone and Joint Surgery, Vol. 103, No. 10Neurological Recovery Across A 2-Cm Gap of Radial Nerve Repair Using End To End Suture Following Supracondylar Humerus Fracture: Case ReportInternational Journal of Surgery Case Reports, Vol. 3Functional Recovery following Repair of Long Nerve Gaps in Senior Patient 2.6 Years Posttrauma22 September 2021 | Plastic and Reconstructive Surgery - Global Open, Vol. 9, No. 9Restoration of Neurological Function Following Peripheral Nerve Trauma6 March 2020 | International Journal of Molecular Sciences, Vol. 21, No. 5Wrist fusions and other key issues in upper limb-related surgeryS. Kakar, F. S. Haddad30 June 2019 | The Bone & Joint Journal, Vol. 101-B, No. 7High radial nerve palsyHand Surgery and Rehabilitation, Vol. 38, No. 1Peripheral Nerve InjuriesResults of nerve grafting in radial nerve injuries occurring proximal to the humerus, including those within the posterior cordJournal of Neurosurgery, Vol. 124, No. 1Optogenetic control of nerve growth18 May 2015 | Scientific Reports, Vol. 5, No. 1Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuriesNeural Regeneration Research, Vol. 9, No. 6Combined proximal nerve graft and distal nerve transfer for a posterior cord brachial plexus injuryJournal of Neurosurgery, Vol. 118, No. 1Nerve injuries sustained during warfarePart II: OutcomesR. Birch, P. Misra, M. P. M. Stewart, W. G. P. Eardley, A. Ramasamy, K. Brown, R. Shenoy, P. Anand, J. Clasper, R. Dunn, J. Etherington1 April 2012 | The Journal of Bone and Joint Surgery. British volume, Vol. 94-B, No. 4Neurological Recovery Across a 12-cm-Long Ulnar Nerve Gap Repaired 3.25 Years Post Trauma: Case Report24 June 2011 | Neurosurgery, Vol. 69, No. 6Isolated Injury of the Posterior Interosseous Nerve Complicating a Deep Laceration of the Proximal Forearm Dorsolateral Muscles: A Case ReportJournal of Trauma: Injury, Infection & Critical Care, Vol. 67, No. 6Complete division of the radial nerve associated with a closed fracture of the humeral shaft in a childB. K. Ogawa, R. M. Kay, P. D. Choi, M. V. Stevanovic1 June 2007 | The Journal of Bone and Joint Surgery. British volume, Vol. 89-B, No. 6PAIN SYNDROMES AFTER MISSILE-CAUSED PERIPHERAL NERVE LESIONSNeurosurgery, Vol. 59, No. 6Difference in Recovery Potential of Peripheral Nerves after Graft RepairsNeurosurgery, Vol. 59, No. 3Surgical treatment and outcomes in 45 cases of posterior interosseous nerve entrapments and injuriesJournal of Neurosurgery, Vol. 104, No. 5Letters to the Editor7 November 2016 | Journal of Hand Surgery, Vol. 27, No. 6Letters to the Editor7 November 2016 | Journal of Hand Surgery, Vol. 27, No. 6 Vol. 83-B, No. 5 Metrics History Published online 1 July 2001 Published in print 1 July 2001 InformationCopyright © 2001, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download" @default.
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