Review article

EXTENSIBLE NEURO-MYOPATHIES IN THE ELONGATION OF THE EXTREMITIES

Severin MILOHANOVIĆ ; KBC Rijeka, Radna jedinica kirurških djelatnosti, Klinika za ortopediju - Sušak
Krešimir HERCEG ; KBC Rijeka, Radna jedinica kirurških djelatnosti, Klinika za ortopediju - Sušak

Abstract

Injuries of the neuro-muscular structures are frequent in the conditions of
extensible injuries of the extremities, particularly in surgical elongations in order
to equalize the lenghth of the extremities.
The anatomic interruption of the nerve continuity (neurotmesis) is considered
to be the most severe injury, which can be treated only surgically. The complete
interruption of the axons with the retained continuity of the connective tissue
of the nerve (axonotmesis) is an injury which can be regenerated spontaneously
if the neuron tube is capable of leading new offsprings. The mildest complication
in extensible neuropathy is the block of the axon conductivity over a definite period
of time (neuropraxis). The thickest fibres of the mixed nerves are most vulnerable
and recover slower than the thinner anes. Progression of the recovery is irregular;
it does not follow the anatomic flow of the nerve, but the recovery is complete
in most cases.
Emphasis has been laid on the due and precise reading of the clinic picture
of extensible injuries of the peripheral nerves and muscles, the complications that
may develop (causalgia, cramps, contractions, ischemic paralysis), and the method
of the treatment which are determined by the clinic picture, i. e. pathomorphological
substrate.

Keywords

Hrčak ID:

143318

URI

https://hrcak.srce.hr/143318

Publication date:

27.12.1988.

Article data in other languages: croatian

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