Analysis of diagnostic and tactical errors in the management of patients with traumatic limb neuropathies

Diagnostic and tactical errors in the management of patients with traumatic neuropathies of the limbs are considered. Attention is drawn to the problem of treatment of traumatic lesions of the peripheral nerves and the organization of medical care in modern conditions for patients with this pathology. The paper describes the difficulties encountered in the differential diagnosis and interpretation of the clinical picture of peripheral nervous system damage, as well as the possibilities of neurophysiological and neuroimaging methods of diagnosis, describes the most common variants of innervation. The most common traumatic neuropathies after medical interventions are presented. It is established that a high degree of mechanization of production, an increase in the number of road accidents, growing household injuries and the mass introduction into everyday life of extreme sports lead to an increase in injuries of the peripheral nervous system. The article pays special attention to the organization of medical care for patients in hospital conditions, as well as the main subjective and objective causes of errors in practitioners during topical diagnosis and treatment of nerve injuries. Attention is drawn to the fact that in order to provide modern high-tech medical care for damage to the nerves of the upper and lower extremities, specialists of surgical and neurological profile need to know the architectonics of the peripheral nervous system and the basic laws of degenerative-regenerative processes in damage to the nerves and plexuses. Rational therapy of victims of this profile should be planned and implemented in the early period of traumatic disease.

traumatic neuropathy, interneural anastomosis, iatrogenic injury, diagnostic errors, peripheral nerves, neurotrauma, electroneuromyography, topical diagnostics, tactics of neuropathy treatment