0
Journal Contents   |    
Sensory-Nerve-Conduction Velocity and Two-Point Discrimination in Sutured Nerves
EDWARD ALMQUIST; ORVAR EEG-OLOFSSON
View Disclosures and Other Information
From the Departments of Hand Surgery (Head: E. Moberg) and Clinical Neurophysiology (Head: I. Petersen), Sahigren Hospital, Göteborg
1970 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1970; 52:791-796 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Nineteen patients, five years or more following nerve suture, were examined by an exacting two-point discrimination test and by a sensory-nerve-conduction-velocity study. The conduction velocity, which normally correlates well with the diameter of nerve fibers did not correlate with the two-point discrimination test. Patients with very slow conduction times, hence small diameter neurons, often had nearly normal clinical return of sensation. Sutured nerves required greater electrical stimulus compared with control nerves before reaching maximum amplitude on the evoked potential. The clinical results, as measured in the two-point discrimination test, depended on whether the patient was a child or an adult at the time of suture. These findings show that sensory-nerve-conduction velocity cannot be used to quantitate clinical results in studies in experimental animals. They further suggest that the adaptability of the young patient's central nervous system explains, at least in part, their better clinical results.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center