医学
神经再支配
周围神经损伤
周围神经
再生(生物学)
外围设备
康复
神经损伤
物理医学与康复
神经科学
外科
物理疗法
心理学
解剖
内科学
细胞生物学
生物
作者
Stephanie L. Barnes,Thomas A. Miller,Neil Simon
标识
DOI:10.1097/wco.0000000000001116
摘要
Purpose of review To review advances in the diagnostic evaluation and management of traumatic peripheral nerve injuries. Recent findings Serial multimodal assessment of peripheral nerve injuries facilitates assessment of spontaneous axonal regeneration and selection of appropriate patients for early surgical intervention. Novel surgical and rehabilitative approaches have been developed to complement established strategies, particularly in the area of nerve grafting, targeted rehabilitation strategies and interventions to promote nerve regeneration. However, several management challenges remain, including incomplete reinnervation, traumatic neuroma development, maladaptive central remodeling and management of fatigue, which compromise functional recovery. Summary Innovative approaches to the assessment and treatment of peripheral nerve injuries hold promise in improving the degree of functional recovery; however, this remains a complex and evolving area.
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