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Hand Surg ; 10(1): 7-15, 2005 Jul.
Article in English | MEDLINE | ID: mdl-16106495

ABSTRACT

The purpose of this study is to clarify the reactions of the neuro-muscular junction and nerve cell body to gradual nerve elongation. The sciatic nerves of Japanese white rabbits were lengthened by 30 mm in increments of 0.8 mm/day, 2.0 mm/day and 4.0 mm/day. A scanning electron microscopic examination showed no degenerative change at the neuro-muscular junction, even eight weeks after elongation in the 4-mm group. Hence, neuro-muscular junction is not critical for predicting damage from gradual nerve elongation. There were no axon reaction cells in the 0.8-mm group, a small amount in the 2-mm group, and a large amount in the 4-mm group. The rate of growth associated protein-43 positive nerve cells was significant in the 4-mm group. Hence, the safe speed for nerve cells appeared to be 0.8-mm/day, critical speed to be 2.0-mm/day, and dangerous speed to be 4.0-mm/day in this elongation model.


Subject(s)
Neuromuscular Junction/physiology , Neurons/metabolism , Neurosurgical Procedures/methods , Sciatic Nerve/surgery , Animals , GAP-43 Protein/metabolism , Microscopy, Electron, Scanning , Models, Animal , Muscle, Skeletal/pathology , Neuromuscular Junction/pathology , Neurons/pathology , Organ Size , Rabbits , Retrograde Degeneration/metabolism , Sciatic Nerve/metabolism , Sciatic Nerve/pathology
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