招待講演 Traumatic Injury to Peripheral Nerves (第41回日本リハビリテーション医学会学術集会)

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概要

• 論文の詳細を見る

• Epidemiology of Peripheral Nerve Trauma Traumatic injury to peripheral nerves results in considerable disability across the world. In peacetime, peripheral nerve injuries commonly result from trauma due to motor vehicle accidents, and less commonly from penetrating trauma, falls and industrial accidents. Out of all patients admitted to Level I trauma centers, it is estimated that roughly 2-3% have peripheral nerve injuries. If plexus and root injuries are also included, the incidence is about 5%. In the upper limb, the nerve most commonly reported injured is the radial nerve, followed by ulnar and median nerves. Lower limb peripheral nerve injuries are less common, with the sciatic most frequently injured, followed by peroneal and rarely tibial or femoral nerves. Fractures of nearby bones are commonly associated, such as humeral fractures with radial neuropathy. In wartime, peripheral nerve trauma is much more common and much of our knowledge about peripheral nerve injury, repair and recovery comes from experience derived in World War I and II, and subsequent wars. Peripheral nerve injuries may be seen as an isolated nervous system injury, but may also often accompany CNS trauma, not only compounding the disability, but making recognition of the peripheral nerve lesion problematic. Of patients with peripheral nerve injuries, about 60% have a traumatic brain injury. Conversely, of those with traumatic brain injury admitted to rehabilitation units, 10-34% have associated peripheral nerve injuries. It is often easy to miss peripheral nerve injuries in the setting of CNS trauma. Since the neurologic history and examination is limited, early hints to a superimposed peripheral nerve lesion might be only flaccidity, areflexia, and reduced movement of a limb. Peripheral nerve injuries are of significant import as they impede recovery of function and return to work, and carry risk of secondary disabilities from falls, fractures, or other secondary injuries.

• 社団法人日本リハビリテーション医学会の論文
• 2005-02-18

著者

• ROBINSON Lawrence

  Department of Rehabilitation Medicine, University of Washington

• Lawrence R

  Department Of Rehabilitation Medicine University Of Washington

• Robinson Lawrence

  Department Of Rehabilitation Medicine University Of Washington School Of Medicine Harborview Medical

関連論文

• 招待講演 Traumatic injury to peridpheral nerves (2009年/第46回日本リハビリテーション医学会 学術集会/静岡)
• Somatosensory Evoked Potential Monitoring During Closed Humeral Nailing : A Preliminary Report
• 招待講演 Traumatic Injury to Peripheral Nerves (第41回日本リハビリテーション医学会学術集会)
• Residency Training in Rehabilitation Medicine at the University of Washington: Developments over the last 40 years (第41回日本リハビリテーション医学会学術集会 International Symposium: Training Systems for Specialist Rehabilitation Physicians: Current Status and Future Develo

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