Management of Peripheral Nerve Injuries

The Peripheral Neuropathy Solution

Peripheral Neuropathy Solution By Dr. Randall Labrum

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The management of peripheral nerve injuries is largely determined by understanding the mechanism, and grade of injury. This involves evaluating an associated laceration and classifying the grade of the injury utilizing one of the schemes described above. The authors personally believe that most traumatic peripheral nerve injuries can be logically managed by utilizing the Seddon three-tier grading scheme, as described earlier [3]. The crux of this evaluation is that it is essential to differentiate between neurapraxic/axonotmetic grades of injury and neurotmetic injuries, as the first can recover

Management Nerve Injuries

Fig. 32.2. Schematic diagram of the three grades of injury and anatomical elements involved. The neurapraxic injury is due to the loss of a functional myelin sheath, while the axon and the surrounding connective tissue remain intact. The axonotmetic injury involves disruption of both the myelin sheath and the axon. The neurotmetic injury involves the myelin sheath, axon and connective tissue encompassing the nerve.

Fig. 32.2. Schematic diagram of the three grades of injury and anatomical elements involved. The neurapraxic injury is due to the loss of a functional myelin sheath, while the axon and the surrounding connective tissue remain intact. The axonotmetic injury involves disruption of both the myelin sheath and the axon. The neurotmetic injury involves the myelin sheath, axon and connective tissue encompassing the nerve.

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