Peripheral nerve injury Injury, Occupational Diseases, Poisoning Injury of nerve(s) of unspecified body region
Conditions
Interventions
There are no study ‘interventions’ as such, just additional imaging measurements. These are as follows:
Date of surgery (or within 7 days post-op): OCT scanning, high frequency 3D ultrasound scan (Hf
Sponsors
The University of Manchester
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. 18 – 80 years old 2. Peripheral nerve injury of ulnar or median nerve (or both) distal to the elbow 3. Having direct, epineural surgical repair within 1 week after injury 4. Capacity to consent
Exclusion criteria
Exclusion criteria: 1. Outside of stated age range 2. Outside stated location of injury 3. Nerve gap requiring alternative surgical management 4. Lacks capacity to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at date of surgery (or within 7 days post-op), weeks 2 and 6, and months 3, 6 and 12: 1. Sweat gland density and epidermal thickness measured by Optical Coherence Tomography 2. Regenerative rate and volume of the regenerating nerve measured by high-frequency, three-dimensional ultrasound | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensory outcome measures: 1. Tactile spatial discrimination measured using 2 Point Discrimination Test at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 2. Pressure detection threshold measured using Weinstein Enhanced Sensory Test (WEST) monofilament at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 3. Tactile spatial discrimination measured using locognosia at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 4. Stereogenesis measured using Shape/Texture Identification Test at months 6 and 12 Motor outcome measures: 1. Individual muscle strength measured using manual muscle testing (MRC Grading) at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 2. Grip strength measured using Jamar Dynamometer at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 Patient-Reported Outcome Measures (PROMs): 1. Functional disability and pain caused by nerve injury measured using DASH and i-HAND at week 1/baseline, week 2/baseline, week 6, months 3, 6 and 12 | — |
Countries
England, United Kingdom
Outcome results
None listed