Traumatic nerve injuries
Which are the symptoms?
Patients may have both sensory disturbances and lack of strength, varying depending on the injured nerve.
How is it diagnosed?
Clinical and instrumental diagnosis using both radiological (ultrasound, conventional radiography, computed and magnetic resonance imaging) and electrophysiological (e.g., electromyography) methods are carried out.
How is it treated?
In general, a distinction is made between open and closed injuries.
In the first case, there is a direct impact on the nerve due to tearing of the tissue above it. In these cases, especially purely cut injuries, immediate surgical intervention by suturing the two ends of the nerve is recommended.
On the other hand, closed injuries are usually caused by contusion or sprain, and there is no direct impact on the nerve. In these cases, it is advisable to postpone surgery for up to 60 days, during which time the patient should undergo a whole series of clinical and electrophysiological (e.g., electromyography) examinations to check whether spontaneous recovery of nerve function has occurred.
The period of hospitalization can be a few days, as in the case of a nerve injury only, or it can be longer if there are serious traumatic injuries in the area of other organs as well.