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Home | Principles of Surgery

Nerve Injury

Classification of nerve injury

  Pathology Recovery Example
Neuropraxia Physiological defect associated with ischaemia or focal demyelination 6-12 week recovery  Nerve compression injury 
Axonotmesis Axonal distruption with endo/peri neurium intact Regeneration starts after 1 month
Growth of 1mm/day
Prognosis worse with more proximal lesions
Traction injury to limb
Stretched nerve in dislocated limb
Neurotmesis Axonal transection  Poor prognosis without repair
(Needs diagnosis with serial EMGs)
Exploration and repair are indicated
Accidentally cut nerve 

 

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