We offer treatment plans that are tailored to fit each patient’s condition, living and work requirements: The ultimate goal of therapy and rehabilitation is the restoration and optimization of hand function, renewed independence and improved overall quality of life. Referrals to local providers can be arranged closer to home as a more convenient option for patients. Hand therapy is provided on site at the University of Michigan’s Hand Program by our team of occupational and physical therapists under the direction of a trained hand therapist. The tendon chosen so the patient does not have loss of function with use of the donor tendon. Tendon transfers borrow extra tendons from other parts of the hand or forearm to perform a function that is lost due to the nerve injury.
If nerve repair is not an option, a tendon transfer may be recommended. If the nerve is thought to be repairable, surgical treatment may consist of: The goal of surgery is to improve function of the affected area in the upper extremity. Surgical treatment is decided on a case-by-case basis, and depends on the location, duration, and type of nerve injury. We offer the latest treatment options available for patients with nerve injuries. Treatment for Nerve Injuries of the Hand, Wrist and Elbow CT Scan, MRI, or ultrasound (US) for more detailed imaging.X-ray: Images used to determine if fractures are present.In addition to an initial consultation appointment, additional diagnostic tests may be ordered. If surgery is recommended, patients will discuss the surgical procedure in detail, including the possible risks and complications of the procedure, recovery and rehabilitation period, and the probable outcome in terms of function and appearance. Discuss possible options for treatment of the condition, including whether surgery is recommended.Undergo a physical examination and provide a complete medical history, including information about previous surgical procedures, past and present medical conditions, and any current medications or herbal supplements.During this important visit, patients should expect to: Changes in sweating patterns of the upper arm, forearm, and/or handĭiagnosing Nerve Injuries of the Hand, Wrist and Elbowĭepending on the complexity of the condition, patients may visit with more than one physician, surgeon, therapist or physician assistant.Decreased muscle tone in the upper arm, forearm, and/or hand.Wrist drop or inability to extend the wrist.The muscles that do not function properly help guide the surgeon to the specific injured nerve(s).
The muscles in the upper extremity are supplied by different nerves. Loss of function in the upper arm, forearm, and/or hand.The pattern of numbness can help guide the surgeon to the specific injured nerve(s). Each nerve supplies different areas of sensation in the upper extremity. Loss of sensation in the upper arm, forearm, and/or hand.Other injuries may occur after a crush or sharp cut along any part of the nerve. Sometimes, symptoms may occur after something as simple as laying on the arm for too long. Symptoms generally occur following an injury to the neck, shoulder, arm or hand.
Symptoms of Nerve Injuries of the Hand, Wrist and Elbow Our goal is to relieve symptoms of the nerve injury and perform nerve reconstruction as soon as possible with minimal impact on the patient’s quality of life. Our fellowship trained hand and upper extremity surgeons specialize in hand, wrist, and elbow surgery. The University of Michigan is a leading provider in the treatment of nerve injuries, from simple to complex. Sometimes, certain illnesses can affect nerves and cause similar symptoms in the upper extremity. However, if a nerve is cut or crushed, it may need surgical treatment in order to help improve or restore function to the hand or arm. Occasionally, the nerve is bruised, and may heal on its own in time. Injuries to the upper extremity occasionally cause trauma to nerves, which can interfere with the various functions of the arm and hand. The nerves are larger in diameter near the neck, and eventually divide to form smaller branches in the upper arm, forearm and hand. The nerves in the upper extremity leave the central nervous system through several areas in the neck, and form a complex structure called the brachial plexus. These nerves are responsible for carrying messages from the brain to parts along the arm for movement, feeling and reflexes. There are many nerves that run between the shoulder and the fingertips in the area of the body known as the upper extremity.
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