Document Detail


Thermoregulatory control after upper extremity replantation.
MedLine Citation:
PMID:  3722769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Four patients with complete forearm amputations between the wrist and elbow were analyzed prospectively to determine the interrelationships of thermoregulation to pain, cold intolerance, arterial integrity, venous competence, motor nerve recovery, sensory nerve recovery, and time. Patients were examined at 6 weeks, 3 months, 6 months, 1 year, and 2 years after replantation. Vasomotor regulatory capacity was assessed by isolated cold-stress testing. Pain had diminished in all patients by 6 months to 1 year, regardless of other factors. Cold tolerance and normal thermoregulatory response, as indicated by cold-stress test performances, were temporally related to attainment of two-point sensory discrimination (p less than 0.05), or to motor nerve recovery (p less than 0.05), or to both.
Authors:
L A Koman; J A Nunley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  11     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1986 Jul 
Date Detail:
Created Date:  1986-08-18     Completed Date:  1986-08-18     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  548-52     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Amputation, Traumatic / surgery*
Blood Vessels / injuries,  physiology
Body Temperature Regulation*
Cold Temperature / diagnostic use
Female
Forearm / blood supply,  innervation,  physiology
Forearm Injuries / surgery*
Humans
Male
Middle Aged
Peripheral Nerves / injuries,  physiology
Replantation*
Time Factors
Vasomotor System / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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