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s office without the following first aid steps. 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Manual reduction 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Peripheral nerve injury ? Orthopaedic surgery is no longer limited to injuries of the bone, blood vessels, and skin, but has expanded to include nerve injury as well 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University ? Axon(軸索) ? Myelin sheath (髓鞘) ? Schwann cell(施萬細(xì)胞) ? Nodes of Ranvier Peripheral Nerve 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Peripheral Nerve Injury ? Acute injury ? Chronic injury (entrapment neuropathy) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University CLASSIFICATION OF NERVE INJURIES ? neuropraxia(神經(jīng)傳導(dǎo)功能障礙 ) ? axonotmesis(神經(jīng)軸索中斷 ) ? nerotmesis(神經(jīng)斷裂 ) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University neuropraxia(神經(jīng)傳導(dǎo)功能障礙 ) ? preservation of the axiscylinder ? minor edema or breakdown of myelin sheath ? recovery is plete in a few days or weeks 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University axonotmesis(神經(jīng)軸索中斷 ) ? breakdown of the axon ? distal wallerian degeneration ? preservation of the Schwann cell ? Spontaneous regeneration with good functional recovery 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University nerotmesis(神經(jīng)斷裂 ) ? plete anatomical severance of the nerve ? distal wallerian degeneration ? perineurium and epineurium also are disrupted ? spontaneous recovery cannot be expected 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Wallerian degeneration(華勒氏變性) 附屬第三醫(yī)院 The 3rd Affiliated Hospital of Sun Yatsen University Symptoms ? Pain, with the degree of intensity ranging from a tingling sensation to extreme, burning pain ? Loss of feeling or abnormal sensations ? Loss of moto