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Part I: orthostatic peripheral nerve injury Objective To investigate the incidence of orthostatic peripheral nerve injury and possible mechanisms, to lay the foundation for the establishment of such injury diagnosis and treatment. August 2008 - May, peripheral nerve injury patients Mianzhu, quake-hit areas rehabilitation treatment center, fill homemade earthquake peripheral nerve injury follow-up questionnaire table countryside door follow-up outpatient follow-up telephone appointment and recommended sampling method to collect cases, peripheral nerve injury evaluation LSUMC Grading System as standard physical examination by experts, assisted EMG, high-frequency B-ultrasound and MRI examination, screening patients with orthostatic peripheral nerve injury. All statistics were analyzed using SPSS 13.0 statistical software evaluation, P lt; 0.05 with significant community value. Results orthostatic nerve injury of 73 cases (14.51%), 122 nerve (12.36%), male 29 cases (39.73%), 44 cases (60.27%), aged 8-89 years old, the average age (44.41 ± 22.60) troubled time 2-38 hours, average trapped (12.69 ± 10.38) hours. 53 cases of sciatic nerve injury, nine cases of brachial plexus injury, 11 cases of femoral nerve injury. 58 cases of hip flexion posture hip flexion, the knee straight posture 12 cases, 61 cases of knee flexion posture, which squat posture 32 cases, the hip extensor postural 11 cases, 9 cases of shoulder stretching posture, and three patients legs apart, orthostatic was PiCha. 0 cases of surgical treatment, rehabilitation treatment of 34 cases, 39 cases of any treatment. After 1 year, all femoral nerve recovery, two cases of the slow recovery of the brachial plexus, sciatic nerve in four cases of slow recovery, two years after the entire LSUHSC neurological assessment more than 3 100%. Conclusion orthostatic nerve injury and troubled time, orthostatic traction and nerve characteristics related to positive interventions to promote regeneration and repair of nerve function recovery satisfaction. Part II: halibut tendon arch syndrome purpose through surveys, understand the incidence and characteristics of the the earthquake caused halibut tendon arch syndrome, preliminary to clarify the causes and mechanisms of its occurrence, and provide reference for prevention and treatment. May 2009 - May tibial nerve injury patients LSUHSC tibial nerve evaluation survey by the title of senior experts as the standard physical examination positive Tinel sign, posterior tibial, popliteal, auxiliary EMG ( EMG), high-frequency B-ultrasound and magnetic resonance imaging (MRI) screening. Individual the halibut tendon bow syndrome surgery lysis and hot and cold water-assisted rehabilitation therapy, and every 3 months thereafter, a telephone follow-up until after 2 years. All statistics were analyzed using SPSS 13.0 statistical software evaluation, P lt; 0.05 with significant community value. Results tibial nerve injury in 67 patients, 77 (including bilateral), halibut the tendon arch Tinel sign () in 11 cases (16.42%) have Compartment syndrome, crush syndrome patients with limb calf , fractures, and type 2 diabetes, the surgical release five cases, follow-up of 24 months, the tibial nerve function recovery satisfaction. Conclusion soleus tendon arch syndrome a low incidence of common female and hidden location, the damage mechanism edema oppression, ischemia and reperfusion and its special anatomical structure, satisfactory results of surgical release.
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