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[Gunshot injuries of peripheral nervous system: the questions of classification and diagnostics].

Two hundreds and sixty-seven patients with gunshot injuries of 394 nerves and plexus underwent clinical and electromyographic investigation and H-reflex evaluation as well. Based on the results of the data obtained, 3 types of nerves trunk injuries: neuroapraxia, axonothmesis and neurothmesis, were identified. The reduction of biopotential amplitude and synergic muscular activity, decrease of impulse conduction velocities (ICVeff--up to 30%), M-response amplitude (up to 50% and more) and motor units functioning were characteristic of neuroapraxia of nerve trunks. Axonothmesis of nerve trunks featured by the reduction of the amplitude and frequency of muscular biopotentials, decrease of its synergic activity, marked reduction of ICVeff (30--60%), rough fall of M-response amplitude and motor units functioning. In neurothmesis of nerve trunks, "bioelectrical silence" and disappearance of synergic muscular activity as well as an absence of M-response of denervated muscles were observed. An evaluation of monosynaptic reflex has a substantial significance for the determination of the level of low extremities injuries.

Adult↗

Evolving concerns relating to occupational disorders of the upper extremity.

Occupational disorders of the upper extremity have become a problem of increasing concern around the world. The management of these problems must be understood in light of current social trends that influence patient management. Workers' compensation is one of these continually developing trends. This article describes the historical aspects of compensation and bodily injury or loss occurring in the work place. Changes in workers' attitudes during the development of workers' compensation have been observed since the turn of the century. The influence of the legal system in this regard is also noteworthy. The modern surgeon is faced with these confounding influences when treating a patient with a work-related injury or cumulative trauma disorder.

Arm Injuries↗

[Epidemiology of basketball injuries].

The players of an elite basketball team were followed during the course of a season which included 71 games and 250 training sessions. All injuries were noted and were correlated with age, height and other physical parameters of the players, as well as with degree of fatigue during games and during training sessions. The lower extremity was the most common site of injury. Ligamentous injuries of the knee are more common in basketball than in soccer players, but they have fewer meniscal injuries than the latter. However, the upper extremity, especially the hand, is more frequently injured in basketball than in other sports. The age, height and personality of the player affect the injury pattern.

Arm Injuries↗