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Yatsen University Median nerve ? Sensory loss of lateral side of palm ? Thumb abduction paralysis 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Froment sign(夾紙?jiān)囼?yàn)) ULNAR NERVE Clawfinger deformity(爪形手 ) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Treatment ? Observation – Nerve is injured but not cut – Rehabilitation and careful monitoring are needed ? Surgery for Nerve Repair – Reconnect( sutures) – Nerve graft – Nerve transfer ? Other surgery – Tendons transfering 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Epineural repair(外膜縫合) Primary nerve sutures ? remain the treatment of choice for the repair of divided peripheral nerves ? Including: Group fascicular repair(束膜縫合) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Epineural Repair 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Fascicular Repair 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Nerve Graft leading cause of failure of nerve graft ? Inadequate resection ? Distraction of repair site 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Nerve graft(神經(jīng)移植) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Nerve transfer(神經(jīng)移位術(shù)) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Peripheral Nerve Injuries ? By the beginning of the 20th century, some measure of success was reported with autografts. ? Although regeneration axons gain entrance to the distal segment, regeneration is slow. 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Key point ? Manifestation, diagnosis and management of Hip, Shoulder and Elbow joint dislocation ? Treatment principles of peripheral nerve injury ? Brachial plexus injury(臂叢損傷) References: TEXT BOOK of SURGERY The biological basis of modern surgical practice (17 edition) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Thanks and Questions? Email: