ETIOLOGY AND MECHANISMS OF ULNAR AND MEDIAN FOREARM NERVE INJURIES

Vladimir Puzovic; Miroslav Samardzic; Milan Jovanovic; Bojana Zivkovic; Andrija Savic; Lukas Rasulic

doi:10.2298/6589

Vladimir Puzovic Fakultet medicinskih nauka, Univerzitet u Kragujevcu, Kragujevac, Srbija
Miroslav Samardzic Medicinski fakultet, Univerzitet u Beogradu, Beograd, Srbija Klinika za neurohirurgiju, Klinicki centar Srbije, Beograd, Srbija
Milan Jovanovic Medicinski fakultet, Univerzitet u Beogradu, Beograd, Srbija Klinika za opekotine, plasticnu i rekonstruktivnu hirurgiju, Klinicki centar Srbije, Beograd, Srbija
Bojana Zivkovic Klinika za neurohirurgiju, Klinicki centar Srbije, Beograd, Srbija
Andrija Savic Klinika za neurohirurgiju, Klinicki centar Srbije, Beograd, Srbija
Lukas Rasulic Medicinski fakultet, Univerzitet u Beogradu, Beograd, Srbija Klinika za neurohirurgiju, Klinicki centar Srbije, Beograd, Srbija

DOI: https://doi.org/10.2298/6589

Sažetak

Cilj: Retrospektivna kohortna studija koja ima za cilj da ispita etiologiju i mehanizme povreda medijalnog i ulnarnog nerva podlaktice.

Metode: U studiju je uključeno 99 pacijenata operisanih na Klinici za neurohirurgiju, Kliničkog centra Srbije, u periodu od 1. januara 2000. do 31. decembra 2010. Svi podaci su dobijeni iz istorija bolesti pacijenata.

Rezultati: Većina pacijenata su muškarci, 81 (81.1%), dok su samo 18 (18.2%) bile žene, najveći broj pacijenata ima povrede nerava distalnog dela podlaktice – 75 (75.6%). U našem istraživanju bila su zastupljena dva mehanizma povrede, transekcija kod 85 pacijenata, a trakcija i kontuzija kod 14 pacijenata. Najčešći etiološki faktor povrede nerava je posekotina, kod 61 pacijenta. Povrede nerava su često udružene sa drugim povredama. U našem radu bile su 22 vaskularne povrede, 33 povrede mišića i tetiva i 20 fraktura kostiju.

Zaključak: Većina pacijenata sa povredama perifernih nerava predstavljaju radno sposobnu populaciju, što predstavlja veliki socio-ekonomski problem. U našoj studiji 66 od 99 pacijenata su uzrasta od 17 do 40 godina starosti, koji su u svojim najproduktivnijim godinama. Činjenica da većina pacijenata ima povredu nerava distalnog dela podlaktice i da su operisani u prvih 6 meseci nakon povrede daje dobru funkcionalnu prognozu.

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ETIOLOGIJA I MEHANIZMI POVREDA ULARNOG I MEDIJALNOG NERVA PODLAKTICE

Sažetak

Reference