الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 111 |  |  |
| | | from | 111 | | |
Abstract
A major problem in surgery of peripheral nerve injuries of the upper extremities is the unpredictable final outcome. More insight and understanding of the proper methods of outcome assessment and the prognostic factors are necessary to improve functional outcome after repair of peripheral nerves. The aims of this study were to evaluate the outcome of surgery after primary median and/ or ulnar nerve (s) repair and to identify factors affecting the outcome of primary median and/ or ulnar nerve (s) repair at wrist.
Forty patients with median, ulnar or combined median-ulnar nerve injuries were included. Outcome parameters were muscle strength assessed by the MRC scale (M0-M5), clinical sensory recovery assessed by the MRC scale (S0-S4), grip and pinch strength measurements measured using a hand- held dynamometer, functional evaluation including; DASH questionnaire, patient’s opinion of recovery and hyperesthesia score.
Sonographic evaluation was done to evaluate the structural integrity of the repaired nerve and to detect post-operative complications. Electrophysiologic evaluation was done to evaluate the physiologic function of the repaired nerves and to detect signs of re-innervation.