{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T05:23:21Z","timestamp":1740029001237,"version":"3.37.3"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,2]]},"abstract":"Zusammenfassung<\/jats:title>Die Therapie der Verletzung des Ramus superficialis des Nervus radialis (R.\n superficialis n. radialis) bleibt f\u00fcr Chirurgen und Patienten eine\n Herausforderung. Sie sind f\u00fcr den Patienten mit einem sehr hohen\n Leidensdruck durch elektrisierende Schmerzen in H\u00f6he der Verletzung und\n Sensibilit\u00e4tsst\u00f6rungen im Versorgungsgebiet verbunden. Die erhobenen Daten\n aus einem Behandlungszeitraum von 6 Jahren sollen einen \u00dcberblick \u00fcber\n chirurgische Verfahren, den zeitlichen Verlauf und deren Ergebnisse\n geben.<\/jats:p>Retrospektiv wurden 17 F\u00e4lle aufbereitet, die zwischen 04\/2017 und 12\/2022\n nach einer Verletzung des R. superficialis n. radialis operiert wurden.\n Sechzehn Patienten konnten standardisiert hinsichtlich der Regeneration,\n Beschwerdelinderung und postoperativer Zufriedenheit befragt werden. Die\n durchschnittliche zeitliche Latenz zwischen ausl\u00f6sendem Ereignis und\n Operation lag bei 13,4 Monaten (Spannweite 3\u201360\u2009M). In 4 von 16 F\u00e4llen wurde\n bei makroskopisch sichtbaren narbigen Ver\u00e4nderungen ohne morpholigsche\n Ver\u00e4nderung des Nervs mit erhaltener Kontinuit\u00e4t eine Neurolyse\n durchgef\u00fchrt. Rekonstruktionen durch Naht erfolgten in 12 F\u00e4llen, von denen\n 4 ohne Neuroprotektion und 8 mit Neuroprotektion durchgef\u00fchrt wurden. Als\n Neuroprotektion wurden in 2 F\u00e4llen ein Neurotube und 6 Mal eine autologe\n Vene verwendet.<\/jats:p>Die durchgef\u00fchrte Operation f\u00fchrte in allen F\u00e4llen zu einer Verbesserung der\n Beschwerden. Unabh\u00e4ngig vom zeitlichen Intervall zwischen Verletzung des R.\n superficialis n. radialis und operativer Intervention ist eine\n Beschwerdelinderung hinsichtlich der vorangegangenen Symptome Schmerzen,\n Hyp-\/Dys\u00e4sthesien und ausl\u00f6sbarem HT Zeichen eingetreten. Obwohl die\n Rekonstruktion des Nervs nicht zu einer vollst\u00e4ndigen Remission f\u00fchrte, sind\n die Patienten mit dem Ergebnis zufrieden. Dabei war in den meisten F\u00e4llen\n der Verbleib von Hyp\u00e4sthesien zu beobachten. Die Neuroprotektion des Nervs\n durch ein Veneninterponat f\u00fchrte im Vergleich zu den Versorgungen ohne\n Veneninterponat zur vermehrten Schmerzlinderung.<\/jats:p>Obwohl Restbeschwerden verblieben, war die Linderung der Symptome f\u00fcr alle\n Patienten entscheidend. Nach Verletzungen des R. superficialis n. radialis\n sollte die operative Therapie mit Erhalt oder Wiederherstellung der\n Kontinuit\u00e4t des verletzten Nervenastes als erfolgversprechende\n Therapieoption in Betracht gezogen werden.<\/jats:p>","DOI":"10.1055\/a-2437-0678","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T23:35:06Z","timestamp":1740008106000},"page":"44-49","source":"Crossref","is-referenced-by-count":0,"title":["Operative Therapie nach L\u00e4sion des R. superficialis des N. radialis \u2013\n mittelfristige Ergebnisse"],"prefix":"10.1055","volume":"57","author":[{"given":"Maria","family":"Tsironis","sequence":"additional","affiliation":[{"name":"Handchirurgie, Fachklinik 360\u00b0 Ratingen, Ratingen,\n Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Vossen","sequence":"additional","affiliation":[{"name":"Handchirurgie, Fachklinik360Grad, Ratingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1175612","DOI":"10.3389\/fneur.2023.1175612.","article-title":"Etiological study of superficial radial nerve neuropathy: series of 34\n patients","volume":"14","author":"L B Shields","year":"2023","journal-title":"Front Neurol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"11175","DOI":"10.1024\/0369-8394.94.30.1175.","article-title":"Iatrogene Nervenl\u00e4sionen","volume":"94","author":"M St\u00f6hr","year":"2005","journal-title":"Praxis (Bern)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1136\/bmj.2.4260.237","article-title":"A classification of nerve injuries","volume":"2","author":"H J Seddon","year":"1942","journal-title":"Br Med 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Nervenarzt"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1177\/1753193416641590","article-title":"Why and how to report surgeons\u2019 levels of expertise","volume":"41","author":"J B Tang","year":"2016","journal-title":"Journal of Hand Surgery (European Volume)"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"15693","DOI":"10.1038\/s41598-023-42245-4","article-title":"Neuromas cause severe residual problems at long-term despite surgery","volume":"13","author":"E Dahlin","year":"2023","journal-title":"Sce Rep"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1097\/SAP.0b013e3182583cf9","article-title":"Outcome of the surgical treatment of peripheral neuromas of the hand and forarm:\n a 25-year comparative outcome study","volume":"71","author":"D M Guse","year":"2013","journal-title":"Ann Plast Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1097\/PRS.0000000000009523","article-title":"Surgical treatment strategiese for injuries of the \u201eunforgiving\u201c superficial\n branch of the radial nerve","volume":"150","author":"E M Brakkee","year":"2022","journal-title":"Plast Reconstr Surg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"30088","DOI":"10.1016\/j.hansur.2018.05.002","article-title":"Vein conduit with microsurgical suture repair of superficial branch of the\n radial nerve injuries at the wrist","volume":"S2468-1229","author":"R Pinet","year":"2018","journal-title":"Hand Surg Rehabil"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2437-0678.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T23:35:18Z","timestamp":1740008118000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2437-0678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,2,19]]},"published-print":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2437-0678","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]}}}