Peripheral nerve injuries Flashcards

1
Q

What is a peripheral nerve?

A

The part of a spinal nerve distal to nerve roots

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2
Q

What can cause nerve injuries?

A
Compression
Trauma
Neurapraxia
Axonotmesis
Neurometsis
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3
Q

What are classical conditions of entrapment?

A

Carpal tunnel syndrome
Sciatica
Morton’s neuroma

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4
Q

What is neuropraxia?

A

Conduction block without nerve degeneration - ischaemia

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5
Q

Is neuropraxia reversible?

A

Yes

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6
Q

What is axonotmesis?

A

Endoneurium intact but axons disrupted

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7
Q

Is axonotmesis reversible?

A

Slightly - function can return but often not normal

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8
Q

What is neurotmesis?

A

Complete nerve division

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9
Q

What happens as a result of endoneural tubes being disrupted?

A

‘Miswiring’ during regeneration

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10
Q

When is surgery indicated?

A

After 3 months if no recovery is identified

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11
Q

What is axonal growth rate?

A

1-3mm/day

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12
Q

What are clinical features of sensory nerve injury?

A

Dysaethesiae - anaesthetic(numb), hypo/hyperaesthetic, paraesthetic (pins and needles)

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13
Q

What are clinical features of motor nerve injury?

A

Weakness or paralysis
Wasting
Dry skin

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14
Q

What happens to reflexes in nerve injury?

A

Diminished/absent

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15
Q

What is the first modality to return in nerve healing?

A

Pain

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16
Q

What determines prognosis of recovery for nerve injury?

A

Whether nerve is pure (onlysensory or motor) or mixed

How distal lesion is - proximal is worse

17
Q

What is Tinel’s sign?

A

Tap over site of nerve - paraesthesia felt as far distally as regeneration has progressed

18
Q

What is the rule of three for peripheral nerve injury surgery?

A

Immediate surgery within 3 days for clean and sharp injuries
Early surgery within 3 weeks for blunt/contusion injuries
Delayed surgeries 3 months after injury for closed injuries