Introduction: Isolated musculocutaneous nerve injuries occur rarely due to their anatomical location. We present our patient with a musculocutaneous nerve injury in a motorcyclist. Case: The patient was initially treated for a motorcycle accident. Further examination of the patient revealed impaired elbow flexion and numbness of the lateral forearm. Electromyography confirmed impaired function of the musculocutaneous nerve. After 3 months, the patient‘s condition did not show any improvement, neither electromyography confirmed recovery of the nerve activity, so surgical treatment was planned. In the surgical revision, neuroma-in-continuity was discovered and resected. The resulting nerve defect was 6 cm long. We provided nerve grafting using sural nerve from the right lower limb. After surgery, the patient began physical therapy and electrical stimulation. Two years later, the patient reached complete recovery of muscle strength. Conclusion: Due to the lack of improvement after a 3-month period, we proceeded with a surgical revision, which demonstrated a complete lesion of the nerve that could not heal spontaneously. Therefore, we opted for the nerve graft method and the patient regained full function of elbow flexors.

• MeSH
• Accidents, Traffic MeSH
• Adult MeSH
• Humans MeSH
• Motorcycles MeSH
• Synaptic Transmission MeSH
• Musculocutaneous Nerve * surgery   injuries   MeSH
• Sural Nerve transplantation   MeSH
• Peripheral Nerve Injuries * surgery   etiology   classification   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

• MeSH
• Humans MeSH
• Spinal Cord Injuries drug therapy   classification   MeSH
• Brain Injuries drug therapy   classification   MeSH
• Peripheral Nerve Injuries classification   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

Poranění periferních nervů jsou součástí dopravních, sportovních i volnočasových úrazů. Vyšetření léze nervů v dětském věku patří do běžné ambulantní i konziliární neurologické praxe na traumatologickém oddělení. Poranění může být podle rozsahu částečné nebo úplné, dle prognózy přechodné nebo trvalé, dle příčiny tupé, ostré, otevřené, trakční, kompresivní a kontuzní; neurovaskulární či iatrogenní. Klasifikace rozeznává neuroapraxii, axonotmezu a neurotmezu. V diagnostice je nejdůležitější zjistit útlak nebo přerušení nervu před jeho nezvratným poškozením, které vede i k lézi svalové. Léčba je konzervativní nebo operační. Významnou složkou léčby je rehabilitace. Při porovnání s dospělými je prognóza funkční úpravy periferního nervu při správně indikované léčbě u dětí mnohem lepší.

Peripheral nerve injuries result from traffic, sports as well as leisure-time accidents. Assessment of nerve lesions in children is part of routine outpatient and consultant neurological practice at a traumatology ward. According to its extent, an injury can be partial or complete; according to prognosis, transient or permanent; depending on the cause, it can be blunt, sharp, open, traction, compression, and contusion; neurovascular or iatrogenic. Classification includes three basic types: neurapraxia, axonotmesis, and neurotmesis. The diagnostic procedure mainly involves identifying nerve compression or transection prior to its irreversible damage which results in muscle injury as well. Treatment is conservative or surgical. Rehabilitation is an important part of treatment. In children as compared with adults, the prognosis of functional recovery after peripheral nerve repair is much better when the treatment is indicated appropriately.

• MeSH
• Child MeSH
• Electromyography MeSH
• Fractures, Bone therapy   MeSH
• Humans MeSH
• Brachial Plexus Neuropathies * surgery   etiology   therapy   MeSH
• Leg Injuries surgery   physiopathology   therapy   MeSH
• Arm Injuries surgery   physiopathology   therapy   MeSH
• Peripheral Nerve Injuries * diagnostic imaging   classification   therapy   MeSH
• Sutures MeSH
• Check Tag
• Child MeSH
• Humans MeSH

• MeSH
• Nerve Degeneration MeSH
• Humans MeSH
• Peripheral Nervous System anatomy & histology   physiology   physiopathology   MeSH
• Peripheral Nerve Injuries * classification   MeSH
• Nerve Regeneration * physiology   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Humans MeSH
• Spinal Cord Injuries * etiology   drug therapy   surgery   classification   therapy   MeSH
• Brain Injuries * drug therapy   surgery   classification   therapy   MeSH
• Peripheral Nerve Injuries * etiology   classification   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

Autor se zabývá pochody, které probíhají po přerušení nervů během regeneračního procesu. Probírá otázku obnovy motorické funkce a čití, rychlosti regenerace a adaptačních mechanismů centrální nervové soustavy, které se během procesu funkční regenerace uplatňují. Dvě kapitoly jsou věnovány otázce klasifikace a diagnosy nervových úrazů a léčebným zákrokům po těchto úrazech.

• MeSH
• Peripheral Nerves MeSH
• Peripheral Nerve Injuries diagnosis   classification   therapy   MeSH
• Nerve Regeneration MeSH

• Conspectus
• Patologie. Klinická medicína
• NML Fields
• neurologie
• neurovědy
• NML Publication type
• studie