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Evaluation of pediatric upper extremity peripheral nerve injuries
1Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Canada; Department of Rehabilitation Services, The Hospital for Sick Children, Toronto, Canada; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
Summary
Evaluating pediatric upper extremity nerve injuries requires a unique approach. This includes observing prehension, muscle atrophy, and sensory function for accurate diagnosis and recovery tracking.
Area of Science:
- Pediatric neurology
- Orthopedic surgery
- Rehabilitation medicine
Background:
- Assessing motor and sensory function is crucial for diagnosing peripheral nerve injuries in the upper extremity.
- Accurate diagnosis and functional recovery documentation are vital for pediatric patients.
Purpose of the Study:
- To outline an evaluation approach for pediatric upper extremity peripheral nerve injuries.
- Critically review existing tests for sensory and motor function in this population.
Main Methods:
- Systematic review of outcome studies on pediatric upper extremity peripheral nerve injuries.
- Literature search conducted on the Medline database.
Main Results:
- Evaluation in children under 10 involves observing prehension patterns, muscle atrophy, and sudomotor function.
- Includes provocative tests, manual muscle testing, and sensory threshold/tactile gnosis assessments.
Conclusions:
- A specialized approach is necessary for evaluating outcomes in pediatric upper extremity peripheral nerve injuries.
- Tailored assessment methods ensure accurate diagnosis and monitoring of recovery.
