Upper extremity nerve lesions (diagnosis, indications, surgical techniques)

RESUMO

Objetive Revision and questioning of orthodox principles regarding the conduction of nerve impulse. Design: Retrospective study with clinical analysis of results. Site Hospital das Clinicas (HCFMSP), public university institution with research programs and tertiary attention to health. Group members Author and a team of residents and trainees. OperationDirect suture of nervous stumps utilizing auxiliary technical procedures- joint-flexion, nerve transpositon, tendon transplants, bone shortening. Measurement Clinical evaluation and objective tests for tactile and stereognostic function recovery (Weber Test). Results: Variable, depending on preoperative conditions - type of lesion, time elapsed since injury. Conclusions: Neurorrhaphy should be the procedure of choice even for long term lesions, although the expected results may be less favourable. Periodical evaluation from 24 hs. Postoperative, checking for early undefined signals of nervous function recovery. Association of specific drugs for chemical biophysics of the nerve.