Postoperative Splinting for Isolated Digital Nerve Injuries in the Hand Export

@article{citeulike:5013374, abstract = {Digital nerve injuries in the hand are common and can result in significant impairment and functional restriction. Despite this, there is relatively little literature, particularly with respect to postoperative rehabilitation. Splinting after repair, purported to protect the repaired nerve from excessive stretch is still commonly used. Recent cadaveric studies indicate postoperative rehabilitation is not necessary with resection up to 2.5 mm. A randomized controlled trial was therefore undertaken to determine whether splinting after isolated 5th degree digital nerve transection is in fact necessary. Twenty-six subjects were recruited over a two-year period and randomized to either three weeks of hand-based splinting or free active motion. ANCOVA indicated no differences in sensibility at six months between the two groups. Subjects also reported their greatest functional limitations were because of hyperesthesia. Although this study is underpowered, these limited results suggest splinting may not be required postoperatively.}, author = {Vipond, N. and Taylor, W. and Rider, M.}, citeulike-article-id = {5013374}, citeulike-linkout-0 = {http://dx.doi.org/10.1197/j.jht.2007.04.010}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S0894113007000294}, doi = {10.1197/j.jht.2007.04.010}, issn = {08941130}, journal = {Journal of Hand Therapy}, keywords = {digital, hand, injuries, intervention, isolated, nerve, paresthesia\_intervention, paresthesia\_treatment, physical\_therapy, physiotherapy, postoperative, sensation\_intervention, sensation\_treatment, sensory\_intervention, sensory\_treatment, splinting, treatment}, month = {July}, number = {3}, pages = {222--231}, posted-at = {2009-06-29 16:08:46}, priority = {2}, title = {Postoperative Splinting for Isolated Digital Nerve Injuries in the Hand}, url = {http://dx.doi.org/10.1197/j.jht.2007.04.010}, volume = {20}, year = {2007} }

TY - JOUR ID - citeulike:5013374 L3 - citeulike-article-id:5013374 N2 - Digital nerve injuries in the hand are common and can result in significant impairment and functional restriction. Despite this, there is relatively little literature, particularly with respect to postoperative rehabilitation. Splinting after repair, purported to protect the repaired nerve from excessive stretch is still commonly used. Recent cadaveric studies indicate postoperative rehabilitation is not necessary with resection up to 2.5 mm. A randomized controlled trial was therefore undertaken to determine whether splinting after isolated 5th degree digital nerve transection is in fact necessary. Twenty-six subjects were recruited over a two-year period and randomized to either three weeks of hand-based splinting or free active motion. ANCOVA indicated no differences in sensibility at six months between the two groups. Subjects also reported their greatest functional limitations were because of hyperesthesia. Although this study is underpowered, these limited results suggest splinting may not be required postoperatively. IS - 3 JF - Journal of Hand Therapy SN - 08941130 EP - 231 TI - Postoperative Splinting for Isolated Digital Nerve Injuries in the Hand VL - 20 SP - 222 KW - digital KW - hand KW - injuries KW - intervention KW - isolated KW - nerve KW - paresthesia_intervention KW - paresthesia_treatment KW - physical_therapy KW - physiotherapy KW - postoperative KW - sensation_intervention KW - sensation_treatment KW - sensory_intervention KW - sensory_treatment KW - splinting KW - treatment AU - Vipond, N AU - Taylor, W AU - Rider, M PY - 2007/07// UR - http://dx.doi.org/10.1197/j.jht.2007.04.010 ER -