Literature Reviews

doi: 10.25005/2074-0581-2020-22-4-613-620
SOME ASPECTS OF DIAGNOSIS AND SURGICAL TREATMENT OF UPPER EXTREMITY NERVE INJURIES

M.Kh. Malikov1, M.A. Khasanov1, Kh.F. Mirzobekov1, Kh.I. Sattorov2

1Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan

The review addresses the issues of diagnosis and surgical treatment of concomitant chronic injuries of the upper limb nerves. The role of modern additional research methods in damage to the nerves is shown, and, depending on the prevalence of damage to certain structures, the value of each technique is shown. A detailed description of the clinical manifestations of sensory and motor disorders of the hand is given. The reasons for the diagnostic and tactical errors made during the examination and treatment of victims at the stages of medical evacuation are especially indicated. Depending on the nature and the duration of the injury, the expediency of using traditional and microsurgical methods of correction for chronic damage to the nerves is shown. The issues of neurotization and tendomuscular transposition are highlighted, and indications for their use are determined.

Keywords: Upper limb, chronic injuries of the nerves, neurotization, tendomuscular transposition.

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Authors' information:


Malikov Mirzobadal Khalifaevich
Doctor of Medical Sciences, Head of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-7816-5521
E-mail: mmirzobadal@mail.ru

Khasanov Mukhammadsharif Abdusattorovich
Postgraduate Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-2840-3472
SPIN: 2109-5394
E-mail: doc3292@mail.ru

Mirzobekov Khurshed Fayzimamadovich
Applicant, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-0683-9072
E-mail: oftob9292@mail.ru

Sattorov Khabibullo Izzatulloevich
Postgraduate Student, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0002-2891-0570
SPIN: 9244-3489
E-mail: habibullo.sattorov0009@mail.ru

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The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Khasanov Mukhammadsharif Abdusattorovich
Postgraduate Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (985) 801738

E-mail: doc3292@mail.ru