{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:16:13Z","timestamp":1793312173090,"version":"4.5.0"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:p> We evaluated 56 patients for neurological deficit after enucleation of a histopathologically confirmed schwannoma of the upper limb. Immediately after the operation, 41 patients (73.2%) had developed a new neurological deficit: ten of these had a major deficit such as severe motor or sensory loss, or intolerable neuropathic pain. The mean tumour size had been significantly larger in patients with a major neurological deficit than in those with a minor or no deficit. After a mean 25.4 months (12 to 85), 39 patients (70%) had no residual neurological deficit, and the other 17 (30%) had only hypoaesthesia, paraesthesiae or mild motor weakness. <\/jats:p><jats:p> This study suggests that a schwannoma in the upper limb can be removed with an acceptable risk of injury to the nerve, although a transient neurological deficit occurs regularly after the operation. Biopsy is not advised. Patients should be informed pre-operatively about the possibility of damage to the nerve: meticulous dissection is required to minimise this. <\/jats:p>","DOI":"10.1302\/0301-620x.91b11.22519","type":"journal-article","created":{"date-parts":[[2009,10,31]],"date-time":"2009-10-31T21:17:52Z","timestamp":1257023872000},"page":"1482-1486","source":"Crossref","is-referenced-by-count":64,"title":["Neurological deficit after surgical enucleation of schwannomas of the upper limb"],"prefix":"10.1302","volume":"91-B","author":[{"given":"M. J.","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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