#PeripheralNerveInjuries - Twitter Hashtag

Clinics in Orthopedic Surgery @CiOSjournal

6 months ago

Early Fracture Alignment Correction and Its Association with Neurologic Recovery in Pediatric Supracondylar Humeral Fractures 🌷https://t.co/XUK9mROsaB Clin Orthop Surg. 2026;18(2). Kang-San Lee #PeripheralNerveInjuries #WoundsAndInjuries #HumeralFractures #TimeFactors

CiOSjournal's tweet photo. Early Fracture Alignment Correction and Its Association with Neurologic Recovery in Pediatric Supracondylar Humeral Fractures
🌷https://t.co/XUK9mROsaB
Clin Orthop Surg. 2026;18(2). Kang-San Lee
#PeripheralNerveInjuries #WoundsAndInjuries #HumeralFractures #TimeFactors https://t.co/3ldICPeFSM

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J Hand Surg Am- ASSH @JHandSurg

over 2 years ago

Key Considerations for #NerveTransfer #Rehabilitation After #SurgicalReconstruction for #BrachialPlexus and #PeripheralNerveInjuries @WUSTLortho #Therapy #HandSurgery https://t.co/zbCnPld3Ls

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Dr.Kartik Sonawane

@KartikBSonawane

almost 3 years ago

*"Knowing it, B4 Blocking It" : ABCD of Peripheral Nerves* #PeripheralNerveInjuries #NerveInjuries #Nervefibres #TypesofNerveInjuries #PreventionofNerveInjuries #SHEDapproach #DiagnosisOfPNI *My 10 points:* A. NERVE ANATOMY & PHYSIOLOGY 1. The *Epineurium* is absent around monofascicular Ns.& at Free nerve endings. The tough *Perineurium* acts as a semipermeable barrier to LA. During nerve injury, the *Endoneurial* fluid increases, causing nerve edema - detected by Magnetic resonance neurography (MRN). 2. The *Paraneurium* protects the nerve from stretching/compression during body movements. This *Sweet spot* of the N. can be an ideal site for LA deposition. 3. Most impulses arise at the *Trigger zone* - A junction of the axon hillock with the initial segment. A nerve transmits these electrochemical impulses from one neuron to another by crossing a synapse. The message is converted from electrical to chemical and then back to electrical. 4. The arrangement of the peripheral mantle to inner core fibers in the nerve is responsible for *differential block* by LA. The diffusion of LA from the mantle to the core fibers depends on the concentration gradient. The sequence of blockade includes *B fibers> C fibers = Aδ fibers> Aγ fibers> Aβ fibers> Aα fibers.* B. NERVE INJURY TYPES AND PATHOPHYSIOLOGY 5. *Neurapraxia* is associated with reversible conduction blockade due to localized myelin degeneration (without affecting the axon/ neural tube/connective tissues) due to transient ischemia, mainly due to compression. *Axonotmesis* involves complete interruption of axons (without affecting neural connective tissues), leading to conduction loss in the nerve fiber beyond the zone of injury - Common with crush and stretch injuries. *Neurotmesis*, a most severe form of nerve injury, involves complete transection of the nerve - Observed after massive trauma, sharp injuries, traction or avulsion injuries, & the injection of noxious drugs. 6. Following nerve injury, the nerve undergoes Degeneration followed by regeneration. *Degeneration* proximal to injury site - primary/retrograde Degeneration. Degeneration distal to the injury site -secondary/anterograde/Wallaerian Degeneration. *Regeneration* is not possible when the cell body is damaged, but it is possible with axonal damage. The ER and ribosome responsible for protein synthesis are present in the cell body cytoplasm but absent in the axoplasm. C. PREVENTION OF NERVE INJURIES 7. *Subjective monitoring* (paresthesia, pain on injection, or syringe feel) can be unreliable than *Objective monitoring* (injection port pressure display, PNS, compressed air injection technique (CAIT), real-time visualization under ultrasound, and injection pressure manometers such as BSmart, NerveGuard, and SAFIRA). 8. *Dual guidance* (USG + PNS) helps reduce the risk of nerve injury. In addition, *Triple guidance* (USG + PNS + injection pressure monitoring) further improves RA safety and gives the confidence to administer PNBs without nerve injury. D. TREATMENT OF NERVE INJURIES 9. The *SHED* (Symptoms categorization-History taking-Examination-Diagnostic evaluations) approach can be helpful when approaching nerve injury patients. Available diagnostic tools for PNI include high-resolution US, MRI/MRN, CT scan, and electrophysiological testing. The choice of diagnostic tests depends on the time since nerve injury and the time required to complete post-injury physiological processes (like Degeneration, regeneration, remyelination, and reinnervation). 10. *NCS* detects and *EMG* locates the nerve lesion. Initial NCS is performed only after 1-2 days of injury and can be repeated in 10-14 days if the symptoms persist. EMG study is conducted 2-4 weeks after the injury. After 4 weeks, the beginning of the reinnervation process can interfere with the EMG study.

KartikBSonawane's tweet photo. *"Knowing it, B4 Blocking It" : ABCD of Peripheral Nerves*

#PeripheralNerveInjuries
#NerveInjuries
#Nervefibres
#TypesofNerveInjuries
#PreventionofNerveInjuries
#SHEDapproach
#DiagnosisOfPNI

*My 10 points:*

A. NERVE ANATOMY & PHYSIOLOGY

1. The *Epineurium* is absent around monofascicular Ns.& at Free nerve endings.

The tough *Perineurium* acts as a semipermeable barrier to LA.

During nerve injury, the *Endoneurial* fluid increases, causing nerve edema - detected by Magnetic resonance neurography (MRN).

2. The *Paraneurium* protects the nerve from stretching/compression during body movements.

This *Sweet spot* of the N. can be an ideal site for LA deposition.

3. Most impulses arise at the *Trigger zone* - A junction of the axon hillock with the initial segment.

A nerve transmits these electrochemical impulses from one neuron to another by crossing a synapse.

The message is converted from electrical to chemical and then back to electrical.

4. The arrangement of the peripheral mantle to inner core fibers in the nerve is responsible for *differential block* by LA.

The diffusion of LA from the mantle to the core fibers depends on the concentration gradient.

The sequence of blockade includes *B fibers> C fibers = Aδ fibers> Aγ fibers> Aβ fibers> Aα fibers.*

B. NERVE INJURY TYPES AND PATHOPHYSIOLOGY

5. *Neurapraxia* is associated with reversible conduction blockade due to localized myelin degeneration (without affecting the axon/ neural tube/connective tissues) due to transient ischemia, mainly due to compression.

*Axonotmesis* involves complete interruption of axons (without affecting neural connective tissues), leading to conduction loss in the nerve fiber beyond the zone of injury - Common with crush and stretch injuries.

*Neurotmesis*, a most severe form of nerve injury, involves complete transection of the nerve - Observed after massive trauma, sharp injuries, traction or avulsion injuries, & the injection of noxious drugs.

6. Following nerve injury, the nerve undergoes Degeneration followed by regeneration.

*Degeneration* proximal to injury site - primary/retrograde Degeneration. Degeneration distal to the injury site -secondary/anterograde/Wallaerian Degeneration.

*Regeneration* is not possible when the cell body is damaged, but it is possible with axonal damage. The ER and ribosome responsible for protein synthesis are present in the cell body cytoplasm but absent in the axoplasm.

C. PREVENTION OF NERVE INJURIES

7. *Subjective monitoring* (paresthesia, pain on injection, or syringe feel) can be unreliable than *Objective monitoring* (injection port pressure display, PNS, compressed air injection technique (CAIT), real-time visualization under ultrasound, and injection pressure manometers such as BSmart, NerveGuard, and SAFIRA).

8. *Dual guidance* (USG + PNS) helps reduce the risk of nerve injury. In addition, *Triple guidance* (USG + PNS + injection pressure monitoring) further improves RA safety and gives the confidence to administer PNBs without nerve injury.

D. TREATMENT OF NERVE INJURIES

9. The *SHED* (Symptoms categorization-History taking-Examination-Diagnostic evaluations) approach can be helpful when approaching nerve injury patients.

Available diagnostic tools for PNI include high-resolution US, MRI/MRN, CT scan, and electrophysiological testing.

The choice of diagnostic tests depends on the time since nerve injury and the time required to complete post-injury physiological processes (like Degeneration, regeneration, remyelination, and reinnervation).

10. *NCS* detects and *EMG* locates the nerve lesion.
Initial NCS is performed only after 1-2 days of injury and can be repeated in 10-14 days if the symptoms persist.

EMG study is conducted 2-4 weeks after the injury. After 4 weeks, the beginning of the reinnervation process can interfere with the EMG study.

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EFORT @EFORTnet

over 3 years ago

EFORT #OpenReviewswork on most common positions during #spinesurgery, alert to errors during procedure & how to avoid them 📄 https://t.co/1nQTGJXDTW #spine #surgicalcomplications #orthotwitter #neuropathies #patientpositioning #nervelesions #peripheralnerveinjuries

EFORTnet's tweet photo. EFORT #OpenReviewswork on most common positions during #spinesurgery, alert to errors during procedure & how to avoid them 📄 https://t.co/1nQTGJXDTW #spine #surgicalcomplications #orthotwitter #neuropathies #patientpositioning #nervelesions #peripheralnerveinjuries https://t.co/WL62rfb1nH

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BarrowNeurological

@BarrowNeuro

almost 4 years ago

Barrow #neuroimaging researcher Dr. @RichardDortch has received a @DeptofDefense grant to develop an imaging method to better diagnose #peripheralnerveinjuries & monitor recovery. He is collaborating with Dr. @RoryMurphy16, Dr. Ping Wang, & @VanderbiltU: https://t.co/LasKEIgyql

BarrowNeuro's tweet photo. Barrow #neuroimaging researcher Dr. @RichardDortch has received a @DeptofDefense grant to develop an imaging method to better diagnose #peripheralnerveinjuries & monitor recovery. He is collaborating with Dr. @RoryMurphy16, Dr. Ping Wang, & @VanderbiltU: https://t.co/LasKEIgyql https://t.co/oL0ayobpPZ

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PT flashcards @PTFlashcards

almost 4 years ago

Get yours now 🤩🫶🏻 #flashcards #nerves #peripheralnerveinjuries #pni #anatomy #muscles #brachialplexus #cervicalplexus #lumbarplexus #sacralplexus

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PT flashcards @PTFlashcards

about 4 years ago

Oh hey, gorgeous! 🤩 #newflashcards #plexuses #nerves #muscles #peripheralnerveinjuries #flashcards

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Oren Gottfried, MD

@OGdukeneurosurg

about 4 years ago

Upper extremity nerves from Hanson’s anatomy #peripheralnerveinjuries #nerve #neuroscience #neurotwitter

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Tony Magaña

@TonyMaganaNS

about 4 years ago

#ENDF and their allies #attacksoncivilians has resulted in hundreds of #peripheralnerveinjuries for which necessary restorative surgery and rehabilitation at #AyderHospital is prevented by #Ethiopia #blockade of required medical supplies resulting in severe lasting disability

TonyMaganaNS's tweet photo. #ENDF and their allies #attacksoncivilians has resulted in hundreds of #peripheralnerveinjuries for which necessary restorative surgery and rehabilitation at #AyderHospital is prevented by #Ethiopia #blockade of required medical supplies resulting in severe lasting disability https://t.co/dWTAHyfbWV

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Jana Dengler (she/her) @NerveSurgeon

about 4 years ago

Proud of @UofT @MScBMC student Alexandra Ho for her hard work on this #patienteducation #animation on #peripheralnerveinjuries! Check it out! https://t.co/7AonF1LOiq @Sunnybrook @UofTPRS @UofTSurgery @UHN @HandSurgeryAssn @ASPSMembers @ASPS_News @HandSociety

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Marc Lloyd @MarcLloyd82

over 4 years ago

Looking forward to presenting today at the #IFSSH2022 #IFSHT2022 congress. 3600 delegates and 90 countries represented is pretty impressive for me personally 🌍 Proud to be representing #thecsp @SwanseabayNHS #brachialplexus #peripheralnerveinjuries #dontmessup

MarcLloyd82's tweet photo. Looking forward to presenting today at the #IFSSH2022 #IFSHT2022 congress. 3600 delegates and 90 countries represented is pretty impressive for me personally 🌍

Proud to be representing #thecsp @SwanseabayNHS #brachialplexus #peripheralnerveinjuries #dontmessup https://t.co/YZmhDZ5pT3

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N.A.P.S. @NAPSnews

almost 5 years ago

Hope may be at hand for people #paralyzed by #spinalcord #injuries. A #drug, #NVG291, in #clinicaltrials creates new #neuralpathways via the extraordinary process of #neuralplasticity. #doctor #research #scientist #patient #peripheralnerveinjuries https://t.co/4XIdtXM53J

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Somek&Associates @SomekAssociates

almost 5 years ago

We hope all #physiotherapists attending today's @MLACP1 annual general conference have a fantastic time today. @SomekAssociates, Suzanne Oxley, #physio #expertwitness, is presenting on “The physiotherapy management of peripheral nerve injury.” #peripheralnerveinjuries

Medico-legal Physios @MLACP1

almost 5 years ago

Peripheral nerve injuries is the theme at our winter conference on Friday 19th November 10am. Available to members £20 and non-members £70. Contact [email protected] to book.

MLACP1's tweet photo. Peripheral nerve injuries is the theme at our winter conference on Friday 19th November 10am. Available to members £20 and non-members £70. Contact info@mlacp.org.uk to book. https://t.co/A4BML4m39b

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AAHS @HandSurgeryAssn

about 5 years ago

Did you pencil our upcoming webinar into your schedule yet? We’re less than two weeks away! Join us as we discuss #peripheralnerveinjuries on 9/13/21 at 8pm EST! #handsurgery #AAHS #handtherapy

HandSurgeryAssn's tweet photo. Did you pencil our upcoming webinar into your schedule yet? We’re less than two weeks away! Join us as we discuss #peripheralnerveinjuries on 9/13/21 at 8pm EST!

#handsurgery #AAHS #handtherapy https://t.co/ZT7tywqodS

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Medical Xpress

@medical_xpress

about 5 years ago

A novel method for the rapid repair of #peripheralnerveinjuries https://t.co/fH0LWoYlnF

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J Hand Surg Am- ASSH @JHandSurg

over 5 years ago

Combat-Sustained #PeripheralNerveInjuries in the United States #Military @WBAMCArmyMed @WRBethesda @USUhealthsci #CombatTrauma #NerveSurgery #PeripheralNerveInjury #HandSurgery #OrthoTwitter #MedTwitter https://t.co/upMKE8NEmx

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Dr Caroline S. Taylor @Dr_C_S_Taylor

over 6 years ago

Really cool paper to come out of our research group! Congrats to Ana on her first 'first author' article! #peripheralnerverepair #nerverepair #peripheralnerveinjuries #biomaterials https://t.co/sJF9vmBUOk

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