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Neurotmesis
Neurotmesis (in Greek tmesis signifies "to cut") is a complete transection of a peripheral nerve, and is part of Seddon's classification scheme used to classify nerve damage. It is the most serious nerve injury in the scheme. In this type of injury, both the nerve and the nerve sheath are disrupted. While partial recovery may occur, complete recovery is impossible. Symptoms Symptoms of neurotmesis include but are not limited to pain, dysesthesias (uncomfortable sensations), and complete loss of sensory and motor function of the affected nerve. Anatomy Neurotmesis occurs in the peripheral nervous system and most often in the upper-limb (arms), accounting for 73.5% of all peripheral nerve injury cases. Of these cases, the ulnar nerve was most often injured. Peripheral nerves are structured so that the axons are surrounded by a myelinated sheath and then an endoneurium. A perineurium surrounds that and the outermost layer is considered the epineurium. When injury occurs, "local va ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Seddon's Classification
Nerve injury classification assists in prognosis and determination of treatment strategy for nerve injuries. Classification was described by Seddon in 1943 and by Sunderland in 1951. In the lowest degree of nerve injury the nerve remains intact, but signaling ability is damaged, termed neurapraxia. In the second degree the axon is damaged, but the surrounding connecting tissue remains intact – axonotmesis. The last degree, in which both the axon and connective tissue are damaged, is called neurotmesis. Seddon's classification In 1943, Seddon described three basic types of nerve injury: Neurapraxia (Class I) Neurapraxia is a temporary interruption of conduction without loss of axonal continuity. Neurapraxia involves a physiologic block of nerve conduction in the affected axons. Other characteristics: *mildest type of nerve injury *sensory-motor problems present distal to the site of injury *intact endoneurium, perineurium, and the epineurium *wallerian degeneration not prese ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Epineurium
The epineurium is the outermost layer of dense irregular connective tissue surrounding a peripheral nerve. It usually surrounds multiple nerve fascicles as well as blood vessels which supply the nerve. Smaller branches of these blood vessels penetrate into the perineurium. In addition to blood vessels which supply the nerve, lymphocytes and fibroblasts are also present and contribute to the production of collagen fibers that form the backbone of the epineurium. In addition to providing structural support, lymphocytes and fibroblasts also play a vital role in maintenance and repair of the surrounding tissues. When the spinal nerve leaves the vertebral canal via an intervertebral foramen, two layers of the spinal meninges, the arachnoid and the dura invaginate the nerve to form a dural sleeve of connective tissue, which is the epineurium. The outer portion of this sleeve comprises the external epineurium which permits longitudinal nerve excursion and absorption of longitudinal st ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tmesis
In its strictest sense, tmesis (; plural tmeses ; Ancient Greek: ''tmēsis'' "a cutting" < ''temnō'', "I cut") is the dividing of a word into two parts, with another word inserted between those parts, thus forming a . Example: "un-freaking-believable" (an emphatic way to say "unbelievable"). In a broader sense, ''tmesis'' is a set phrase, such as a , with one or more words interpolated within, thus creating a separate phrase. Verbs Tmesis of ed verbs (whereby the prefix is separated from the simple verb) was thought to be an original feature of the |
Radiation
In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or a material medium. This includes: * ''electromagnetic radiation'' consisting of photons, such as radio waves, microwaves, infrared, visible light, ultraviolet, x-rays, and Gamma ray, gamma radiation (γ) * ''particle radiation'' consisting of particles of non-zero rest energy, such as alpha radiation (α), beta radiation (β), proton radiation and neutron radiation * ''acoustics, acoustic radiation'', such as ultrasound, sound, and seismic waves, all dependent on a physical transmission medium * ''gravitational radiation'', in the form of gravitational waves, ripples in spacetime Radiation is often categorized as either ''ionizing radiation, ionizing'' or ''non-ionizing radiation, non-ionizing'' depending on the energy of the radiated particles. Ionizing radiation carries more than 10 electron volt, electron volts (eV), which is enough to ionize atoms and molecul ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Electric Shock
An electrical injury (electric injury) or electrical shock (electric shock) is damage sustained to the skin or internal organs on direct contact with an electric current. The injury depends on the Current density, density of the current, tissue resistance and duration of contact. Very small currents may be imperceptible or only produce a light tingling sensation. However, a shock caused by low and otherwise harmless current could startle an individual and cause injury due to jerking away or falling. A strong electric shock can often cause painful Spasm, muscle spasms severe enough to Joint dislocation, dislocate joints or even to Bone fracture, break bones. The loss of muscle control is the reason that a person may be unable to release themselves from the electrical source; if this happens at a height as on a Overhead power line, power line they can be thrown off. Larger currents can result in tissue damage and may trigger ventricular fibrillation or cardiac arrest. If death res ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Burn Injury
A burn is an injury to skin, or other tissues, caused by heat, electricity, chemicals, friction, or ionizing radiation (such as sunburn, caused by ultraviolet radiation). Most burns are due to heat from hot fluids (called scalding), solids, or fire. Burns occur mainly in the home or the workplace. In the home, risks are associated with domestic kitchens, including stoves, flames, and hot liquids. In the workplace, risks are associated with fire and chemical and electric burns. Alcoholism and smoking are other risk factors. Burns can also occur as a result of self-harm or violence between people (assault). Burns that affect only the superficial skin layers are known as superficial or first-degree burns. They appear red without blisters, and pain typically lasts around three days. When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn. Blisters are frequently present and they are often very painful. Healing c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ischemia
Ischemia or ischaemia is a restriction in blood supply to any tissue, muscle group, or organ of the body, causing a shortage of oxygen that is needed for cellular metabolism (to keep tissue alive). Ischemia is generally caused by problems with blood vessels, with resultant damage to or dysfunction of tissue, i.e., hypoxia and microvascular dysfunction. It also implies local hypoxia in a part of a body resulting from constriction (such as vasoconstriction, thrombosis, or embolism). Ischemia causes not only insufficiency of oxygen but also reduced availability of nutrients and inadequate removal of metabolic wastes. Ischemia can be partial (poor perfusion) or total blockage. The inadequate delivery of oxygenated blood to the organs must be resolved either by treating the cause of the inadequate delivery or reducing the oxygen demand of the system that needs it. For example, patients with myocardial ischemia have a decreased blood flow to the heart and are prescribe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Improvised Explosive Devices
An improvised explosive device (IED) is a bomb constructed and deployed in ways other than in conventional warfare, conventional military action. It may be constructed of conventional military explosives, such as an artillery shell, attached to a detonating mechanism. IEDs are commonly used as roadside bombs, or homemade bombs. The term "IED" was coined by the British Army during the Northern Ireland conflict to refer to booby traps made by the Provisional Irish Republican Army, IRA, and entered common use in the U.S. during the Iraq War. IEDs are generally utilized in terrorist operations or in asymmetric warfare, asymmetric unconventional warfare or urban warfare by insurgent guerrilla warfare, guerrillas or commando forces in a theater (warfare), theatre of operations. In the Iraq War (2003–2011), Iraqi insurgency (2003–2011), insurgents used IEDs extensively against U.S.-led forces, and by the end of 2007, IEDs were responsible for approximately 63% of Multi-National ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shoulder Dislocation
A dislocated shoulder is a condition in which the head of the humerus is detached from the glenoid fossa. Symptoms include shoulder pain and instability. Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. Diagnosis is typically based on symptoms and confirmed by X-rays. They are classified as anterior, posterior, inferior, and superior with most being anterior. Treatment is by shoulder reduction which may be accomplished by a number of techniques. These include traction-countertraction, external rotation, scapular manipulation, and the Stimson technique. After reduction X-rays are recommended for verification. The arm may then be placed in a sling for a few weeks. Surgery may be recommended in those with recurrent dislocations. Not all patients require surgery following a shoulder dislocation. There i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dislocation (medicine)
A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet. A partial dislocation is referred to as a subluxation. Dislocations are commonly caused by sudden trauma to the joint like during a car accident or fall. A joint dislocation can damage the surrounding ligaments, tendons, muscles, and nerves. Dislocations can occur in any major joint (shoulder, knees, hips) or minor joint (toes, fingers). The most common joint dislocation is a shoulder dislocation. The treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Only trained medical professionals should perform reductions since the manipulation can cause injury to the surrounding soft tissue, nerves, or vascular structures. Signs and Symptoms The following symptoms are common with any type of dislocation. * Intense pain * Joint instability * Deformity of the joint area ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sports Injuries
Sports injuries occur during participation in sports or exercise in general. Globally, around 40% of individuals engage in some form of regular exercise or organized sports, with upwards of 60% of US high school students participating in one or more sports. Sports injuries account for 15 - 20% of annual acute care visits with an incidence of 1.79 - 6.36 injuries per 1,000 hours of participation. Sports injuries can be broken down into the types of injuries, risk factors and prevention and the overall impact that injuries have on athletes. Types of sport injury The type of sports injury suffered varies greatly based on gender, age and sport. Nonetheless, those with the highest prevalence remain contusions, fractures and sprains, followed closely by wounds and overuse injuries. Also common, the possible severity of head and neck injuries are important to consider. It is also paramount to place emphasis on the specific injuries that are most commonly encountered by sports medicine ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Motor Vehicle Accidents
A traffic collision, also known as a motor vehicle collision, or car crash, occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other moving or stationary obstruction, such as a tree, pole or building. Traffic collisions often result in injury, disability, death, and property damage as well as financial costs to both society and the individuals involved. Road transport is statistically the most dangerous situation people deal with on a daily basis, but casualty figures from such incidents attract less media attention than other, less frequent types of tragedy. The commonly used term car accident is increasingly falling out of favor with many government departments and organizations: the Associated Press style guide recommends caution before using the term and the National Union of Journalists advises against it in their Road Collision Reporting Guidelines. Some collisions are intentional vehicle-ramming attacks, staged crashes, vehicular ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
