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Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation
  1. Lisa Korus1,
  2. Douglas C Ross2,3,4,
  3. Christopher D Doherty3,4,
  4. Thomas A Miller2,3,5
  1. 1Division of Plastic Surgery, Departments of Surgery, University of Alberta
  2. 2Co-directors Peripheral Nerve Clinic, St. Josephs Health Care, London, Ontario, Canada
  3. 3Roth-McFarlane Hand and Upper Limb Centre, St. Josephs Health Care, Western University, London, Ontario, Canada
  4. 4Department of Surgery, Western University, (Hospital) St Joseph's Health Care, London, Ontario, Canada
  5. 5Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Canada
  1. Correspondence to Dr Thomas A Miller, 21 Grosvenor St. London, Ontario, Canada N6A 1Y6; tmiller{at}uwo.ca

Abstract

Peripheral nerve injury (PNI) and recent advances in nerve reconstruction (such as neurotization with nerve transfers) have improved outcomes for patients suffering peripheral nerve trauma. The purpose of this paper is to bridge the gap between the electromyographer/clinical neurophysiologist and the peripheral nerve surgeon. Whereas the preceding literature focuses on either the basic science behind nerve injury and reconstruction, or the surgical options and algorithms, this paper demonstrates how electromyography is not just a ‘decision tool’ when deciding whether to operate but is also essential to all phases of PNI management including surgery and rehabilitation. The recent advances in the reconstruction and rehabilitation of PNI is demonstrated using case examples to assist the electromyographer to understand modern surgical techniques and the unique demands they ask from electrodiagnostic testing.

  • PERIPHERAL NERVE SURGERY
  • REHABILITATION
  • EMG
  • NEUROANATOMY
  • NEUROPHYSIOL, CLINICAL

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