Peripheral Nerve Regeneration: A Follow-up Study of 3,656 World War II Injuries, Issue 35Barnes Woodhall, Gilbert Wheeler Beebe |
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Common terms and phrases
abductor abductor digiti quinti abductor pollicis brevis arterial injury autonomous zone brachial plexus bulb suture causalgia chronaxie clinical Complete division contracting against resistance cuff definitive operation definitive suture distal muscles evaluation evidence examination extensor fingers flexor follow-up Following Complete Suture forearm Hospital hypesthesia interval intrinsic longus lower extremity lysed lysis median and ulnar median nerve motor recovery nerve lesions nerve stimulation nerve suture neurolysis neuroma in continuity neurosurgery normal Number overall functional pain and touch pain threshold paresthesias patient Percent Percent Percent Percentage peripheral nerve injuries peroneal poll pollicis proximal muscles radial radial nerve relative power reoperation repair resection resuture roster sample sciatic sciatic nerve Sciatic-peroneal Sciatic-tibial sensation sensory recovery Skin resistance Superficial pain surgeon surgical sympathectomy Table Tantalum tendon Thigh tibial nerve Tinel's sign tion tissue Total Touch threshold ulnar nerve upper extremity voluntary wound
Popular passages
Page 311 - Willson's case,* the eftbrt to read brought on new agony. Under such torments the temper changes, the most amiable grow irritable, the soldier becomes a coward, and the strongest man is scarcely less nervous than the most hysterical girl. Perhaps nothing can better illustrate the extent to which these statements may be true than the cases of burning pain, or, as I prefer to term it, causalgia, the most terrible of all the tortures which a nerve wound may inflict.
Page i - Council, devised by the committee on Veterans medical problems in cooperation with the Veterans Administration, the army and the navy devised the project which is reported in this volume.
Page 314 - Glossy fingers appear to be a sign of peculiarly impaired nutrition and circulation due to injury of the nerves. They are not observed in all cases of injured nerves, and I cannot tell what are the peculiar conditions of the cases in which they are found ; but they are a very notable sign, and are always associated, I think, with distressing and hardly manageable pain and disability.
Page 75 - Motor Recovery: Stage 0 No contraction. Stage 1 Return of perceptible contraction in the proximal muscles. Stage 2 Return of perceptible contraction in both proximal and distal muscles. Stage 3 Return of function in both proximal and distal muscles of such an extent that all important muscles are of sufficient power to act against resistance. Stage 4 Return of function as in Stage 3 with the addition that all synergic and isolated movements are possible. Stage 5 Complete recovery.
Page v - Under this Committee was organized the Follow-up Agency of the National Research Council to carry out the staff functions associated with the planning and organization of research projects, arranging access to medical records, and providing statistical analysis. The Veterans Administration has provided the direct financial support for the majority of the studies in this program and the Armed Forces have provided strategic support in the form of access to necessary records and ancillary services....
Page 257 - Sensory Recovery: Stage 0 — absence of sensibility in the autonomous zone of the nerve. Stage 1 — recovery of deep cutaneous pain sensibility within the autonomous zone. Stage 2 — return of some degree of superficial pain and tactile sensibility within the autonomous zone. Stage 3 — return of superficial pain and tactile sensibility throughout the autonomous zone with the disappearance of over-response. Stage 4 — return of sensibility as in Stage 3 with the addition that there is recovery...
Page iv - ... recorded information has been supplemented by intensive laboratory and clinical observations. The Veterans Administration is deeply indebted to the members of the Committee on Veterans Medical Problems for their vision and foresight in organizing and directing this program of medical follow-up studies. Much of the product of the program will be found in medical periodicals appropriate to the subjects of investigation. However, some of the studies are of such magnitude as to require that they...
Page 429 - ... been freely incised an hour or two previously. The patient suddenly became collapsed to such a degree that the radial pulse was imperceptible. As rapidly as possible I gave an injection of ether hypodermically, pushing the needle into the most accessible part of the body, viz., the extensor aspect of the left forearm at the junction of the lower and middle thirds. I injected about 20 minims of ether sulphuricus. The patient recovered from the collapse, but next morning I was struck by the fact...
Page 313 - Mitchell, et al. (55) pointed this out, stating that "surgeons, who have happened to encounter a single one of the worst of them, have been so surprised at the character of the suffering as to suspect that such an extreme hyperaesthesia must be due, at least in some measure, to a desire on the part of the patient to magnify his pains.
Page iv - ... illness or injury generates a permanent record; all such episodes (or a fair statistical sample thereof) are indexed by means of punched cards, and there also exists a uniquely complete and centralized reservoir of pathological material. The veteran population is now in excess of 20 millions and is both more easily located and more readily motivated to participate in specific studies than any other large segment of the US population. It is served by an integrated system of medical care, with...