Archives of Plastic Surgery

  • 제49권3호
  • /
  • Pages.427-439
  • /
  • 2022
  • /
  • 2234-6163(pISSN)
  • /
  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Clinical Assessment of Pain and Sensory Function in Peripheral Nerve Injury and Recovery: A Systematic Review of Literature

  • John, Albin A. (Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center) ;
  • Rossettie, Stephen (Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center) ;
  • Rafael, John (Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center) ;
  • Cox, Cameron T. (Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center) ;
  • Ducic, Ivica (Washington Nerve Institute) ;
  • Mackay, Brendan J. (Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center)
  • 발행 : 2022.05.15
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초록

Peripheral nerve injuries (PNIs) often present with variable symptoms, making them difficult to diagnose, treat, and monitor. When neurologic compromise is inadequately assessed, suboptimal treatment decisions can result in lasting functional deficits. There are many available tools for evaluating pain and functional status of peripheral nerves. However, the literature lacks a detailed, comprehensive view of the data comparing the clinical utility of these modalities, and there is no consensus on the optimal algorithm for sensory and pain assessment in PNIs. We performed a systematic review of the literature focused on clinical data, evaluating pain and sensory assessment methods in peripheral nerves. We searched through multiple databases, including PubMed/Medline, Embase, and Google Scholar, to identify studies that assessed assessment tools and explored their advantages and disadvantages. A total of 66 studies were selected that assessed various tools used to assess patient's pain and sensory recovery after a PNI. This review may serve as a guide to select the most appropriate assessment tools for monitoring nerve pain and/or sensory function both pre- and postoperatively. As the surgeons work to improve treatments for PNI and dysfunction, identifying the most appropriate existing measures of success and future directions for improved algorithms could lead to improved patient outcomes.

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참고문헌

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