Peripheral nerve injuries Flashcards
What is a peripheral nerve?
The part of a spinal nerve distal to nerve roots
What can cause nerve injuries?
Compression Trauma Neurapraxia Axonotmesis Neurometsis
What are classical conditions of entrapment?
Carpal tunnel syndrome
Sciatica
Morton’s neuroma
What is neuropraxia?
Conduction block without nerve degeneration - ischaemia
Is neuropraxia reversible?
Yes
What is axonotmesis?
Endoneurium intact but axons disrupted
Is axonotmesis reversible?
Slightly - function can return but often not normal
What is neurotmesis?
Complete nerve division
What happens as a result of endoneural tubes being disrupted?
‘Miswiring’ during regeneration
When is surgery indicated?
After 3 months if no recovery is identified
What is axonal growth rate?
1-3mm/day
What are clinical features of sensory nerve injury?
Dysaethesiae - anaesthetic(numb), hypo/hyperaesthetic, paraesthetic (pins and needles)
What are clinical features of motor nerve injury?
Weakness or paralysis
Wasting
Dry skin
What happens to reflexes in nerve injury?
Diminished/absent
What is the first modality to return in nerve healing?
Pain