Nerve Injuries and Their Repair: A Critical Appraisal

Part 1 General considerations: terminology relating to nerves, nerve injury and nerve repair animal experimentation and the solution of clinical problems. Part 2 Anatomical considerations: terms relating to the structure of nerve fibres and nerve trunks nerve fibres nerve trunks fascicular anatomy numbers of nerve fibres for individual branches connective tissues of nerve trunks blood supply of nerves lymphatics, endoneurial spaces, Nervi nervorum features of nerves that protect them from injury during normal daily activities. Part 3 The pathology of nerve injury: nerve conduction block injury axon degeneration axon regeneration and related changes neurotropism in axon regeneration and nerve repair causes of nerve injury, terminology, compression nerve injury traction nerve injury friction trauma and nerve entrapment lesions ischaemic nerve lesions due to trauma nerve injury caused by the injection of therapeutic agents, cryogenic lesions, ionising radiation miscellaneous causes of nerve injury neuromas neural fibrosis a classification of nerve injury. Part 4 Changes in denervated structures: changes in denervated bones, joints, periarticular structures and tendons changes in denervated muscle factors influencing the development and severity of the changes in denervated muscle the capacity of reinnervated human muscles to function efficiently after prolonged denervation changes in denervated skin and subscutaneous tissues, trophic changes. Part 5 Diagnosis, motor sensory and sympathetic functions and their evaluation: diagnosis of nerve injury nerve injury and motor function nerve injury and sensory function what can nerve trauma tell us about pain mechanisms? nerve injury and sympathetic function. Part 6 The clinical management of nerve injury and repair: the history of nerve repair the principles of non-surgical treatment neurolysis, mobilization, transportation, painful neuromas factors influencing the quality of the recovery after nerve repair decision making in the clinical management of nerve injury and repair decision making in the clinical management of nerve injury and repair strategies for improving the results of nerve repair end-to-end nerve repair nerve grafting and related methods of nerve repair the course of recovery after nerve repair end-result evaluation and its implications repair of the brachial plexus directed to restoring elbow flexion the future.