{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:01:34Z","timestamp":1789887694669,"version":"4.0.1"},"reference-count":25,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Peripheral nerve injuries after occupational accidents can result in significant functional and socioeconomic consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to describe the characteristics and patterns of trauma- and treatment-related peripheral nerve injuries resulting from occupational accidents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analysed 276 cases of traumatic peripheral nerve injury following occupational accidents, treated between 2018 and 2024 at a German university hospital. Injuries were classified by severity and anatomical location. Associations between injury characteristics, occupational sectors, treatment modalities and work incapacity were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most cases occurred in construction, trade\/transport, metal industry and agriculture\/forestry (63%). The leading causes were falls, crush, penetrating\/cutting and impact injuries. In 24%, the nerve injury was treatment-related rather than caused by the initial trauma. The median, ulnar and peroneal nerves were most commonly affected. Severe deficits were present in 44% of patients at baseline; 26% remained severely affected at follow-up. Nerve surgery was performed in 38% of severe cases. Longer work incapacity was associated with fracture-related injuries (median = 210\u2009days, Q1\u2009=\u2009133\u2013Q3\u2009=\u2009375; Q1\u2009=\u200925th, Q3\u2009=\u200975th percentile), lower extremity involvement (240, 148\u2013403 versus 180, 89\u2013285; P\u2009&amp;lt;\u20090.001) and age &amp;gt;50\u2009years (210, 140\u2013409 versus 81, 29\u2013143; P\u2009&amp;lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Peripheral nerve injuries from occupational accidents are linked to substantial work incapacity. Key predictors of prolonged recovery include fractures, lower extremity involvement and older age. Treatment-related nerve damage accounts for a considerable share. Many patients show persistent deficits despite comprehensive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqag096","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:12:52Z","timestamp":1786101172000},"source":"Crossref","is-referenced-by-count":0,"title":["Trauma- and treatment-associated peripheral nerve injuries following occupational accidents: a retrospective study"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6293-7032","authenticated-orcid":false,"given":"K","family":"Holzapfel","sequence":"first","affiliation":[{"name":"Neurology, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Schulz","sequence":"additional","affiliation":[{"name":"Neurology, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9896-4274","authenticated-orcid":false,"given":"L","family":"Braadt","sequence":"additional","affiliation":[{"name":"Neurology, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Naumann","sequence":"additional","affiliation":[{"name":"Neurology, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Mayr","sequence":"additional","affiliation":[{"name":"Trauma Surgery, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Abelmann-Brockmann","sequence":"additional","affiliation":[{"name":"Trauma Surgery, Faculty of Medicine, University of Augsburg , Augsburg 86156,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"2026092002222030000_kqag096-B1","first-page":"71","article-title":"Berufssch\u00e4den am peripheren nervensystem","volume":"205","author":"Delank","year":"1973","journal-title":"Z Neurol"},{"key":"2026092002222030000_kqag096-B2","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s11552-014-9692-0","article-title":"Social impact of peripheral nerve injuries","volume":"10","author":"Wojtkiewicz","year":"2015","journal-title":"Hand (N Y)"},{"key":"2026092002222030000_kqag096-B3","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1097\/WCO.0000000000001116","article-title":"Traumatic peripheral nerve injuries: diagnosis and management","volume":"35","author":"Barnes","year":"2022","journal-title":"Curr Opin Neurol"},{"key":"2026092002222030000_kqag096-B4","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1002\/mus.28099","article-title":"Occupational nerve injuries","volume":"71","author":"Hearn","year":"2025","journal-title":"Muscle Nerve"},{"key":"2026092002222030000_kqag096-B5","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.3390\/biomedicines11061745","article-title":"Pathophysiology of work-related neuropathies","volume":"11","author":"Malik","year":"2023","journal-title":"Biomedicines"},{"key":"2026092002222030000_kqag096-B6","author":"Medical Research Council","year":"1976"},{"key":"2026092002222030000_kqag096-B7","author":"Deutsche Gesellschaft f\u00fcr Neurochirurgie","year":"2023"},{"key":"2026092002222030000_kqag096-B8","author":"Deutsche Gesetzliche Unfallversicherung (DGUV)","year":"2024"},{"key":"2026092002222030000_kqag096-B9","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3233\/BMR-160681","article-title":"Peripheral nerve injuries: long term follow-up results of rehabilitation","volume":"29","author":"Adiguzel","year":"2016","journal-title":"J Back Musculoskelet Rehabil"},{"key":"2026092002222030000_kqag096-B10","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1046\/j.1529-8027.2000.00026.x","article-title":"Influence of aging on peripheral nerve function and regeneration","volume":"5","author":"Verd\u00fa","year":"2000","journal-title":"J Peripher Nerv Syst"},{"key":"2026092002222030000_kqag096-B11","first-page":"30","article-title":"Implications of an aging workforce for work injury, recovery, returning to work and remaining at work","volume":"38","author":"Van Eerd","year":"2019","journal-title":"Oohna J"},{"key":"2026092002222030000_kqag096-B12","doi-asserted-by":"publisher","first-page":"2573","DOI":"10.1007\/s00701-023-05727-y","article-title":"Surgical management of peroneal nerve injuries","volume":"165","author":"Strother","year":"2023","journal-title":"Acta Neurochir (Wien)"},{"key":"2026092002222030000_kqag096-B13","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.20.00256","article-title":"Traumatic peroneal nerve injuries: a systematic review","volume":"10","author":"Mackay","year":"2022","journal-title":"JBJS Rev"},{"key":"2026092002222030000_kqag096-B14","doi-asserted-by":"publisher","first-page":"648","DOI":"10.5535\/arm.2011.35.5.648","article-title":"Peroneal neuropathy after tibio-fibular fracture","volume":"35","author":"Kim","year":"2011","journal-title":"Ann Rehabil Med"},{"key":"2026092002222030000_kqag096-B15","doi-asserted-by":"publisher","first-page":"747","DOI":"10.5435\/JAAOS-D-23-00577","article-title":"Frequent sural nerve injury with posterior approach for ankle fracture fixation","volume":"32","author":"Simske","year":"2024","journal-title":"J Am Acad Orthop Surg"},{"key":"2026092002222030000_kqag096-B16","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1177\/107110070302401006","article-title":"Investigation of incidence of superficial peroneal nerve injury following ankle fracture","volume":"24","author":"Redfern","year":"2003","journal-title":"Foot Ankle Int"},{"key":"2026092002222030000_kqag096-B17","doi-asserted-by":"publisher","first-page":"3","DOI":"10.20517\/2347-9264.2024.84","article-title":"Median and ulnar neuropathy after distal radius fractures: a narrative review and illustrative case presentation","volume":"12","author":"den\u202fBoogert","year":"2025","journal-title":"Plast. Aesthet. Res"},{"key":"2026092002222030000_kqag096-B18","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.ocl.2021.11.005","article-title":"Acute carpal tunnel syndrome and median nerve neurapraxia: a review","volume":"53","author":"Holbrook","year":"2022","journal-title":"Orthop Clin North Am"},{"key":"2026092002222030000_kqag096-B19","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1097\/01241398-199403000-00008","article-title":"Acute median neuropathy following physeal fractures of the distal radius","volume":"14","author":"Waters","year":"1994","journal-title":"J Pediatr Orthop"},{"key":"2026092002222030000_kqag096-B20","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/1471-2474-4-24","article-title":"Pain and disability reported in the year following a distal radius fracture: a cohort study","volume":"4","author":"MacDermid","year":"2003","journal-title":"BMC Musculoskelet. Disord"},{"key":"2026092002222030000_kqag096-B21","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1177\/17531934231192836","article-title":"Complications of operatively treated distal radial fractures","volume":"49","author":"Townsley","year":"2024","journal-title":"J. Hand Surg. Eur"},{"key":"2026092002222030000_kqag096-B22","doi-asserted-by":"publisher","first-page":"675","DOI":"10.3171\/2018.11.JNS181520","article-title":"Surgery for nerve injury: current and future perspectives","volume":"130","author":"Midha","year":"2019","journal-title":"J Neurosurg"},{"key":"2026092002222030000_kqag096-B23","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1179\/1743132811Y.0000000048","article-title":"High frequency ultrasound evaluation of traumatic peripheral nerve injuries","volume":"34","author":"Hollister","year":"2012","journal-title":"Neurol Res"},{"key":"2026092002222030000_kqag096-B24","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1007\/s40477-022-00756-2","article-title":"Value of ultrasound assessment for traumatic nerve injury of the upper limb","volume":"26","author":"Elshewi","year":"2023","journal-title":"J. Ultrasound"},{"key":"2026092002222030000_kqag096-B25","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.clineuro.2015.10.034","article-title":"Posttraumatic neuroma due to closed nerve injury: is recovery after peripheral nerve trauma related to ultrasonographic neuroma size?","volume":"139","author":"Coraci","year":"2015","journal-title":"Clin. Neurol. Neurosurg"}],"container-title":["Occupational Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/occmed\/advance-article-pdf\/doi\/10.1093\/occmed\/kqag096\/71236820\/kqag096.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/occmed\/advance-article-pdf\/doi\/10.1093\/occmed\/kqag096\/71236820\/kqag096.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T06:22:27Z","timestamp":1789885347000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/occmed\/advance-article\/doi\/10.1093\/occmed\/kqag096\/8818198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,20]]},"references-count":25,"URL":"https:\/\/doi.org\/10.1093\/occmed\/kqag096","relation":{},"ISSN":["0962-7480","1471-8405"],"issn-type":[{"value":"0962-7480","type":"print"},{"value":"1471-8405","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,20]]},"article-number":"kqag096"}}