Traumatic Upper Extremity Nerve Lesions in Children: High-Resolution Nerve Ultrasound Can Improve Surgical…

Cohort studyJournal of brachial plexus and peripheral nerve injury· Jan 2025

Traumatic Upper Extremity Nerve Lesions in Children: High-Resolution Nerve Ultrasound Can Improve Surgical Outcome.

Natalie Winter, Alexander Grimm, Johannes Heinzel … Helene Hurth

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Peripheral NerveCohort studyDiagnosisQ3IF 1.1

Ultrasound-guided treatment predicted favorable nerve recovery outcomes in children

Traumatic Upper Extremity Nerve Lesions in Children: High-Resolution Nerve Ultrasound Can Improve Surgical Outcome.

Natalie Winter … Helene Hurth

Journal of brachial plexus and peripheral nerve injury · Jan 2025 · Q3 in Neurology

Background

Peripheral nerve injuries may accompany traumatic extremity injuries and are associated with significant morbidity.

Purpose

This study evaluates clinical outcomes after conservative versus surgical management, considering high-resolution ultrasound findings in pediatric patients with upper extremity peripheral nerve injuries.

Methods

We retrospectively analyzed our pediatric neurosurgery database from August 2008 to December 2022 including patients < 18 years with traumatic upper extremity nerve injury and excluding obstetrical brachial plexus injury.

n = 67 patients

Results

OR = 10.6

ultrasound guided care raised the odds of good nerve recovery over tenfold

n = 67 patients

More results

The most frequently affected nerves were the ulnar (49.3%), radial (21.9%), and median nerve (19.2%).

At initial presentation, 47.9% underwent electrophysiology and 67.1% received high-resolution ultrasound.

Surgery was performed in 49.3% at a median of 4 months posttrauma, whereas 50.7% were managed conservatively.

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Conclusion · 1 of 2

Good functional recovery in pediatric patients with peripheral nerve injury was demonstrated. high-resolution ultrasound-guided treatment and age < 9 years were independent predictors of favorable outcome.

Conclusion · 2 of 2

These findings support high-resolution ultrasound as a valuable, noninvasive tool for guiding pediatric nerve injury management.

Traumatic Upper Extremity Nerve Lesions in Children: High-Resolution Nerve Ultrasound Can Improve Surgical Outcome.

Traumatic Upper Extremity Nerve Lesions in Children: High-Resolution Nerve Ultrasound Can Improve Surgical Outcome.

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