产科臂丛神经麻痹术中神经牵引损伤的评价。

IF 1.1 Q4 CLINICAL NEUROLOGY

Journal of Brachial Plexus and Peripheral Nerve Injury Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI:10.1055/a-2572-2601

J Bahm, B Schäfer, K Nolte, J Weis, J P Beier

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引用次数: 0

摘要

我们通过锁骨上入路和系统暴露神经根和干，对产科臂丛神经麻痹重建手术中观察到的神经病变进行简单分类。对神经牵引损伤相关体征（瘢痕、束状断裂和神经节脱位）的描述，结合损伤神经末梢切片显微组织变化的分级系统（束状结构、神经周围膜和神经内膜改变）。这两种工具都被推荐用于任何外科臂丛探查以及随后与其他专业人员（儿科医生、物理治疗师或产科医生）的互动。

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Intraoperative Assessment of Nerve Traction Injury in Obstetric Brachial Plexus Palsy.

We present an easy classification for nerve lesions observed in reconstructive surgery for obstetric brachial plexus palsy, performed through a supraclavicular approach and systematic exposure of nerve roots and trunks. A description of signs related to nerve traction injury (scarring, fascicular rupture, and dislocated ganglions) is combined with a grading system of microscopic tissue changes occurring in slices from traumatized nerve endings (fascicular structure, changes in perineurium and endoneurium). Both tools are proposed for any surgical brachial plexus exploration and later interaction with other professionals (pediatricians, physiotherapists, or obstetricians).

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来源期刊

Journal of Brachial Plexus and Peripheral Nerve Injury CLINICAL NEUROLOGY-

CiteScore

1.70

自引率

14.30%

发文量

审稿时长

12 weeks

期刊介绍： JBPPNI is an open access, peer-reviewed online journal that will encompass all aspects of basic and clinical research findings, in the area of brachial plexus and peripheral nerve injury. Injury in this context refers to congenital, inflammatory, traumatic, degenerative and neoplastic processes, including neurofibromatosis. Papers on diagnostic and imaging aspects of the peripheral nervous system are welcomed as well. The peripheral nervous system is unique in its complexity and scope of influence. There are areas of interest in the anatomy, physiology, metabolism, phylogeny, and limb growth tropism of peripheral nerves.