Official Journal of the Italian Society of Orthopaedics and Traumatology
From: Traumatic peripheral nerve injuries: a classification proposal
Patient no. | Sex (M:F = 20:4) | Age at surgery (years) (average, 37 years) | Diagnosis | Mechanism of injury | PNI code | Treatment |
---|---|---|---|---|---|---|
1 | M | 15 | Right external popliteal nerve injury | Deep clear-cut injury at proximal peroneal epiphysis | SP33OC/B11 | Neurorraphy |
2 | M | 28 | Subamputation of III, IV, and V fingers with cutaneous injury to the volar portion of MCP joint | CD52OC/B11 | Extensors and flexors tenorraphy and neurorraphy | |
3 | M | 43 | Posterior circumflex nerve and its first branches (superficial and deep) injury | Complete lesion at the quadrangular space or quadrilateral space of Volpeau | C13CC/B22 | Axillary nerve neurolysis, subsequent nerve transfer of axillary nerve with tricipital branch and sural autograft of 25 mm, and open-surgery for rotator cuff repair |
4 | M | 68 | Median nerve and sensitive branch of radial nerve injuries | Inveterate lesion with 6 mm gap between stumps at median nerve and 38 mm gap between stumps of the sensitive branch of radial nerve | M43CC R42CC/A22 | Reconstruction with sural autografts for median and sensory radial branch |
5 | M | 23 | Sensitive palmar branch of median nerve injury | Forearm open wound chronically progressed with 25 mm gap between stumps | M52CC/B22 | Neurorraphy of sensory palmar branch of median nerve and posterior interosseous nerve grafting of 25 mm |
6 | F | 42 | Common digital nerve injury | Iatrogenic lesion, result of right hand aponeurectomy with evidence of neuroma-in-continuity in digital branch for IV finger, and 25 mm gap between stumps at bifurcation of common digital nerve on the V finger | CD52CC/B22 | Reconstruction with sural autografts |
7 | M | 44 | Median and ulnar nerves injury | Two level amputation at radiocarpal and scaphotrapeziotrapezoid joints | M43OC U43OC/B11 | Neurorraphy |
8 | M | 15 | Zone III ulnar nerve injury | Complete inveterate lesion just distal to ulnar collateral ligament with 40 mm gap between stumps | U43CC/B22 | Reconstruction with five sural autografts (40 mm) |
9 | M | 33 | Radial Nerve Injury | Inveterate lesion of the proximal third of the upper arm with 60 mm gap between stumps | R23CC/B22 | Reconstruction with five dural autografts |
10 | F | 30 | Common digital nerve injury | Complete amputation of III finger of the left hand | CD52OC/B11 | Neurorraphy |
11 | M | 29 | Ulnar nerve injury | Complete lesion at middle third of the forearm with 50 mm gap between stumps | U33CC/B22 | Reconstruction with four sural autografts (50 mm) |
12 | M | 56 | Ulnar nerve injury | Complete inveterate lesion 4 cm proximal to Guyon’s canal with 25 mm gap between stumps | U23CC/B22 | Reconstruction with neurotube |
13 | M | 25 | Sciatic nerve injury | Inveterate lesion at proximal third of thigh with 80 mm gap between stumps | S23CC/B22 | Neurolysis and reconstruction with five sural autografts (80 mm) |
14 | M | 18 | Palmar digital nerve injury | Complete interphalangeal joint (IPJ) amputation | CD52OC/B11 | Neurorraphy |
15 | M | 46 | Median, ulnar, and radial nerves injuries | Complete distal third forearm amputation | M43OC U43OC R42OC/B11 | Neurorraphy |
16 | M | 54 | Radial nerve injury | Nerve lesion at the level of the wrist with 14 mm gap between stumps | R52CC/B22 | Reconstruction with muscle–vein-combined grafts |
17 | M | 22 | Common digital nerve injury | I finger amputation at metacarpophalangeal joint (MPJ) | CD52OC/B11 | Neurorraphy |
18 | M | 69 | Ulnar nerve injury | Inveterate lesion at proximal third of the forearm with 40 mm gap between stumps | U43CC/A22 | Reconstruction with five sural autografts |
19 | M | 46 | Radial nerve injury | Inveterate posterior cord of brachial plexus (BP) lesion, distal to axillary nerve origin with 60 mm gap between stumps | R1CC/B22 | Reconstruction with 4 sural autografts |
20 | M | 52 | Common digital nerve injury | Open wound with loss of substance of the III finger with 12 mm gap between stumps | CD52CC/B22 | Reconstruction with muscle–vein-combined grafts |
21 | F | 31 | Sciatic nerve injury | Partial injury of the left sciatic nerve | S23CP/B22 | Neurorraphy |
22 | M | 36 | Peroneal nerve Injury | Inveterate lesion of superficial peroneal nerve at fibular head with 120 mm gap between stumps | SP33CC/B23 | Reconstruction with two sural autografts (240 mm) |
23 | F | 52 | Median and musculocutaneous nerve injury | Inveterate lesion with 150 mm and 80 mm gap between stumps, respectively | M1 3CC MC13CC/B23 | Reconstruction with two sural autografts |
24 | M | 12 | Ulnar nerve injury | Inveterate lesion at elbow level with 40 mm gap between stumps | U33CP/B22 | Reconstruction with two sural autografts (40 mm) |