Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients

The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres...

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Vydáno v:Journal of the peripheral nervous system Ročník 15; číslo 2; s. 120 - 127
Hlavní autoři: Ciaramitaro, Palma, Mondelli, Mauro, Logullo, Francesco, Grimaldi, Serena, Battiston, Bruno, Sard, Arman, Scarinzi, Cecilia, Migliaretti, Giuseppe, Faccani, Giuliano, Cocito, Dario
Médium: Journal Article
Jazyk:angličtina
Vydáno: Oxford, UK Blackwell Publishing Ltd 01.06.2010
Témata:
ISSN:1085-9489, 1529-8027, 1529-8027
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Abstract The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres were enrolled. Electromyography confirmed clinical level and site diagnosis of peripheral nerve injury. All patients were evaluated by disability scales, pain screening tools, and quality of life tests. 158 consecutive patients for a total of 211 traumatic neuropathies were analysed. The brachial plexus was a frequent site of traumatic injury (36%) and the radial, ulnar, and peroneal were the most commonly involved nerves with 15% of iatrogenic injuries. Seventy‐two percent of the traumatic neuropathies were painful. Pain was present in 66% and neuropathic pain in 50% of all patients. Patients had worse quality of life scores than did the healthy Italian population. Moreover, there was a strong correlation between the quality of life and the severity of the pain, particularly neuropathic pain (Short Form‐36 [SF‐36] p < 0.005; Beck Depression Inventory [BDI] p < 0.0001). Traumatic neuropathies were more frequent in young males after road accidents, mainly in the upper limbs. Severe neuropathic pain and not only disability contributed to worsening the quality of life in patients with traumatic neuropathies.
AbstractList The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres were enrolled. Electromyography confirmed clinical level and site diagnosis of peripheral nerve injury. All patients were evaluated by disability scales, pain screening tools, and quality of life tests. 158 consecutive patients for a total of 211 traumatic neuropathies were analysed. The brachial plexus was a frequent site of traumatic injury (36%) and the radial, ulnar, and peroneal were the most commonly involved nerves with 15% of iatrogenic injuries. Seventy-two percent of the traumatic neuropathies were painful. Pain was present in 66% and neuropathic pain in 50% of all patients. Patients had worse quality of life scores than did the healthy Italian population. Moreover, there was a strong correlation between the quality of life and the severity of the pain, particularly neuropathic pain (Short Form-36 [SF-36] p < 0.005; Beck Depression Inventory [BDI] p < 0.0001). Traumatic neuropathies were more frequent in young males after road accidents, mainly in the upper limbs. Severe neuropathic pain and not only disability contributed to worsening the quality of life in patients with traumatic neuropathies.
The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres were enrolled. Electromyography confirmed clinical level and site diagnosis of peripheral nerve injury. All patients were evaluated by disability scales, pain screening tools, and quality of life tests. 158 consecutive patients for a total of 211 traumatic neuropathies were analysed. The brachial plexus was a frequent site of traumatic injury (36%) and the radial, ulnar, and peroneal were the most commonly involved nerves with 15% of iatrogenic injuries. Seventy-two percent of the traumatic neuropathies were painful. Pain was present in 66% and neuropathic pain in 50% of all patients. Patients had worse quality of life scores than did the healthy Italian population. Moreover, there was a strong correlation between the quality of life and the severity of the pain, particularly neuropathic pain (Short Form-36 [SF-36] p < 0.005; Beck Depression Inventory [BDI] p < 0.0001). Traumatic neuropathies were more frequent in young males after road accidents, mainly in the upper limbs. Severe neuropathic pain and not only disability contributed to worsening the quality of life in patients with traumatic neuropathies.The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life in patients affected by traumatic neuropathies. All consecutive patients with a diagnosis of traumatic neuropathies from four Italian centres were enrolled. Electromyography confirmed clinical level and site diagnosis of peripheral nerve injury. All patients were evaluated by disability scales, pain screening tools, and quality of life tests. 158 consecutive patients for a total of 211 traumatic neuropathies were analysed. The brachial plexus was a frequent site of traumatic injury (36%) and the radial, ulnar, and peroneal were the most commonly involved nerves with 15% of iatrogenic injuries. Seventy-two percent of the traumatic neuropathies were painful. Pain was present in 66% and neuropathic pain in 50% of all patients. Patients had worse quality of life scores than did the healthy Italian population. Moreover, there was a strong correlation between the quality of life and the severity of the pain, particularly neuropathic pain (Short Form-36 [SF-36] p < 0.005; Beck Depression Inventory [BDI] p < 0.0001). Traumatic neuropathies were more frequent in young males after road accidents, mainly in the upper limbs. Severe neuropathic pain and not only disability contributed to worsening the quality of life in patients with traumatic neuropathies.
Author Faccani, Giuliano
Grimaldi, Serena
Migliaretti, Giuseppe
Battiston, Bruno
Logullo, Francesco
Scarinzi, Cecilia
Sard, Arman
Cocito, Dario
Ciaramitaro, Palma
Mondelli, Mauro
Author_xml – sequence: 1
  givenname: Palma
  surname: Ciaramitaro
  fullname: Ciaramitaro, Palma
  email: p_ciaramitaro@libero.it
  organization: Clinical Neurophysiology Unit, Neurosurgery Division, AOU CTO, Torino
– sequence: 2
  givenname: Mauro
  surname: Mondelli
  fullname: Mondelli, Mauro
  organization: EMG Service, ASL Siena, Siena
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  givenname: Francesco
  surname: Logullo
  fullname: Logullo, Francesco
  organization: Neurology Division, University of Ancona, Ancona
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  givenname: Serena
  surname: Grimaldi
  fullname: Grimaldi, Serena
  organization: Neurosciences Department, AOU S. Giovanni Battista, Torino
– sequence: 5
  givenname: Bruno
  surname: Battiston
  fullname: Battiston, Bruno
  organization: Traumatology Division, AOU CTO, Torino
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  surname: Sard
  fullname: Sard, Arman
  organization: Hand Surgery Division, AOU CTO, Torino
– sequence: 7
  givenname: Cecilia
  surname: Scarinzi
  fullname: Scarinzi, Cecilia
  organization: Public Health and Microbiology Department, University of Torino, Torino
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  surname: Migliaretti
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  organization: Public Health and Microbiology Department, University of Torino, Torino
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  fullname: Faccani, Giuliano
  organization: Neurosurgery Division, AOU CTO, Torino, Italy
– sequence: 10
  givenname: Dario
  surname: Cocito
  fullname: Cocito, Dario
  organization: Neurosciences Department, AOU S. Giovanni Battista, Torino
BackLink https://www.ncbi.nlm.nih.gov/pubmed/20626775$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Contributor Ganino, Cristiana
Costa, Paolo
Battiston, Bruno
Conforti, Luigi
Logullo, Francesco
Sard, Arman
Isoardo, Gianluca
Mondelli, Mauro
Cossa, Federico Maria
Faccani, Giuliano
Grimaldi, Serena
Tos, Pierluigi
Pontini, Italo
Magistroni, Ernesta
Cocito, Dario
Ciaramitaro, Palma
Sabbatini, Deborah
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  surname: Isoardo
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  surname: Costa
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  surname: Faccani
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  surname: Battiston
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References Bonita R, Beaglehole R (1988). Recovery of motor function after stroke. Stroke 19:1497-1500.
Seddon HJ (1975). Surgical Disorders of the Peripheral Nerves, 2nd Edn. Churchill Livingstone, New York, pp 21-23.
Davies M, Brophy S, Williams R, Taylor A (2006). The prevalence, severity, and impact of painful diabetic peripheral neuropathy in type 2 diabetes. Diabetes Care 29:1518-1522.
Beck A, Ward C, Mendelson M, Mock J, Erbaugh J (1961). An inventory to measure depression. Arch Gen Psychiatry 4:561-567.
Robinson LR (2000). Traumatic injury to peripheral nerves. Muscle Nerve 23:863-873.
Truini A, Padua L, Biasiotta A, Caliandro P, Pazzaglia C, Galeotti F, Inghilleri M, Cruccu G (2009). Differential involvement of A-delta and A-beta fibres in neuropathic pain related to carpal tunnel syndrome. Pain 145:105-109.
Jensen MP, Chodroff MJ, Dworkin RH (2007). The impact of neuropathic pain on health-related quality of life. Review and implications. Neurology 68:1178-1182.
Sadosky A, McDermott AM, Brandenburg NA, Strauss M (2008). A review of the epidemiology of painful diabetic peripheral neuropathy, postherpetic neuralgia, and less commonly studied neuropathic pain conditions. Pain Pract 8:45-56.
Flores LP (2006). Epidemiological study of the traumatic brachial plexus injuries in adults. Arq Neuropsiquiatr 64:88-94.
Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E (2005). Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 114:29-36.
Stone L, Keenan MA (1988). Peripheral nerve injuries in the adult with traumatic brain injury. Clin Orthop Relat Res 233:136-144.
Midha R (1997). Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurg 40:1182-1189.
Uzun N, Tanriverdi T, Savrun FK, Kiziltan ME, Sahin R, Hanimoglu H, Hanci M (2006). Traumatic peripheral nerve injuries: demographic and electrophysiologic findings of 802 patients from a developing country. J Clin Neuromuscul Dis 7:97-103.
Bouhassira D, Attal N, Fermanian J, Alchaar H, Gautron M, Masquelier E, Rostaing S, Lanteri-Minet M, Collin E, Grisart J, Boureau F (2004). Development and validation of the Neuropathic Pain Symptom Inventory. Pain 108:248-257.
Kouyoumdjian JA (2006). Peripheral nerve injuries: a retrospective survey of 456 cases. Muscle and Nerve 34:785-787.
Huskisson EC (1974). Measurement of pain. Lancet 2:1127-1131.
Cales RH, Trunkey DD (1985). Preventable trauma deaths: a review of trauma care systems development. JAMA 254:1059-1063.
Cocito D, Paolasso I, Pazzaglia C, Tavella A, Poglio F, Ciaramitaro P, Scarmozzino A, Cossa FM, Bergamasco B, Padua L (2006). Pain affects the quality of life of neuropathic patients. Neurol Sci 27:155-160.
Sterling M, Pedler A (2009). A neuropathic pain component is common in acute whiplash and associated with a more complex clinical presentation. Man Ther 14:173-179.
Eser F, Aktekin LA, Bodur H, Atan C (2009). Etiological factors of traumatic peripheral nerve injuries. Neurol India 57:434-437.
Ferrante MA, Wilbourn AJ (2002). Electrodiagnostic approach to the patient with suspected brachial plexopathy. Neurol Clin N Am 20:423-450.
Hans FJ, Reinges MH, Krings T (2004). Lumbar nerve root avulsion following trauma: balanced fast field-echo MRI. Neuroradiology 46:144-147.
Narakas AO (1993). Lesions found when operating traction injuries of the brachial plexus. Clin Neurol Neurosurg 95:S56-S64.
Wittchen HU, Jensen TS (2007). Using screening tools to identify neuropathic pain. Pain 127:199-203.
Kretschmer T, Antoniadis G, Braun V, Rath SA, Richter HP (2001). Evaluation of iatrogenic lesions in 722 surgically treated cases of peripheral nerve trauma. J Neurosurg 94:905-912.
Graham RC, Hughes RAC (2006). A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale. J Neurol Neurosurg Psychiatry 77:973-976.
Cruccu G, Anand P, Attal N, Garcia-Larreaa L, Haanpaa M, Jøruma E, Serra J, Jensen TS (2004). EFNS guidelines 2004 on Neuropathic Pain assessment. Eur J Neurol 11:153-162.
Attal N, Cruccu G, Haanpää M, Hansson P, Jensen TS, Nurmikko T, Sampaio C, Sindrup S, Wiffen P; EFNS Task Force (2006). EFNS guidelines on pharmacological treatment of neuropathic pain. Eur J Neurol 13:1153-1169.
Galer BS, Gianas A, Jensen MP (2000). Painful diabetic polyneuropathy: epidemiology, pain description, and quality of life. Diabetes Res Clin Pract 47:123-128.
Vannier JL, Belkheyar Z, Oberlin C, Montravers P (2008). Management of neuropathic pain after brachial plexus injury in adult patients: a report of 60 cases. Ann Fr Anesth Reanim 27:890-895.
Dubuisson SA, Kline DG (2002). Brachial plexus injury: a survey of 100 consecutive cases from a single servise. Neurosurgery 51:673-683.
Daousi C, MacFarlane IA, Woodward A, Nurmikko TJ, Bundred PE, Benbow SJ (2004). Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes. Diabet Med 21:976-982.
Ware JE Jr, Sherbourne CD (1992). The MOS 36-item Short-Form Health Survey. Med Care 30:473-483.
Apolone G, Mosconi P (1998). The Italian SF-36 Health Survey: translation, validation and norming. J Clin Epidemiol 51:1025-1036.
Baron R (2008). Mechanisms of postherpetic neuralgia: we are hot on the scent. Pain 140:395-396.
Noble J, Munro CA, Prasad VS, Midha R (1998). Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. J Trauma 45:116-122.
Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO, Griffin JW, Hansson P, Hughes R, Nurmikko T, Serra J (2008). Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology 70:1630-1635.
2004; 21
2001; 94
1997; 40
2007; 127
2000; 47
2006; 34
2006; 13
1988; 19
2000; 23
2002; 51
2006; 77
2005; 114
2004; 46
2006; 7
1975
2008; 8
1992
2002
2004; 108
2008; 70
1998; 45
2008; 140
1974; 2
1992; 30
2004; 11
2009; 14
2009; 57
2006; 64
1993; 95
1961; 4
2002; 20
2006; 27
2008; 27
2006; 29
1988; 233
2009; 145
1998; 51
2007; 68
1985; 254
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References_xml – reference: Cocito D, Paolasso I, Pazzaglia C, Tavella A, Poglio F, Ciaramitaro P, Scarmozzino A, Cossa FM, Bergamasco B, Padua L (2006). Pain affects the quality of life of neuropathic patients. Neurol Sci 27:155-160.
– reference: Kretschmer T, Antoniadis G, Braun V, Rath SA, Richter HP (2001). Evaluation of iatrogenic lesions in 722 surgically treated cases of peripheral nerve trauma. J Neurosurg 94:905-912.
– reference: Galer BS, Gianas A, Jensen MP (2000). Painful diabetic polyneuropathy: epidemiology, pain description, and quality of life. Diabetes Res Clin Pract 47:123-128.
– reference: Narakas AO (1993). Lesions found when operating traction injuries of the brachial plexus. Clin Neurol Neurosurg 95:S56-S64.
– reference: Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO, Griffin JW, Hansson P, Hughes R, Nurmikko T, Serra J (2008). Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurology 70:1630-1635.
– reference: Jensen MP, Chodroff MJ, Dworkin RH (2007). The impact of neuropathic pain on health-related quality of life. Review and implications. Neurology 68:1178-1182.
– reference: Kouyoumdjian JA (2006). Peripheral nerve injuries: a retrospective survey of 456 cases. Muscle and Nerve 34:785-787.
– reference: Vannier JL, Belkheyar Z, Oberlin C, Montravers P (2008). Management of neuropathic pain after brachial plexus injury in adult patients: a report of 60 cases. Ann Fr Anesth Reanim 27:890-895.
– reference: Cruccu G, Anand P, Attal N, Garcia-Larreaa L, Haanpaa M, Jøruma E, Serra J, Jensen TS (2004). EFNS guidelines 2004 on Neuropathic Pain assessment. Eur J Neurol 11:153-162.
– reference: Sadosky A, McDermott AM, Brandenburg NA, Strauss M (2008). A review of the epidemiology of painful diabetic peripheral neuropathy, postherpetic neuralgia, and less commonly studied neuropathic pain conditions. Pain Pract 8:45-56.
– reference: Davies M, Brophy S, Williams R, Taylor A (2006). The prevalence, severity, and impact of painful diabetic peripheral neuropathy in type 2 diabetes. Diabetes Care 29:1518-1522.
– reference: Attal N, Cruccu G, Haanpää M, Hansson P, Jensen TS, Nurmikko T, Sampaio C, Sindrup S, Wiffen P; EFNS Task Force (2006). EFNS guidelines on pharmacological treatment of neuropathic pain. Eur J Neurol 13:1153-1169.
– reference: Bouhassira D, Attal N, Fermanian J, Alchaar H, Gautron M, Masquelier E, Rostaing S, Lanteri-Minet M, Collin E, Grisart J, Boureau F (2004). Development and validation of the Neuropathic Pain Symptom Inventory. Pain 108:248-257.
– reference: Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E (2005). Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 114:29-36.
– reference: Midha R (1997). Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurg 40:1182-1189.
– reference: Wittchen HU, Jensen TS (2007). Using screening tools to identify neuropathic pain. Pain 127:199-203.
– reference: Dubuisson SA, Kline DG (2002). Brachial plexus injury: a survey of 100 consecutive cases from a single servise. Neurosurgery 51:673-683.
– reference: Truini A, Padua L, Biasiotta A, Caliandro P, Pazzaglia C, Galeotti F, Inghilleri M, Cruccu G (2009). Differential involvement of A-delta and A-beta fibres in neuropathic pain related to carpal tunnel syndrome. Pain 145:105-109.
– reference: Bonita R, Beaglehole R (1988). Recovery of motor function after stroke. Stroke 19:1497-1500.
– reference: Apolone G, Mosconi P (1998). The Italian SF-36 Health Survey: translation, validation and norming. J Clin Epidemiol 51:1025-1036.
– reference: Stone L, Keenan MA (1988). Peripheral nerve injuries in the adult with traumatic brain injury. Clin Orthop Relat Res 233:136-144.
– reference: Graham RC, Hughes RAC (2006). A modified peripheral neuropathy scale: the Overall Neuropathy Limitations Scale. J Neurol Neurosurg Psychiatry 77:973-976.
– reference: Baron R (2008). Mechanisms of postherpetic neuralgia: we are hot on the scent. Pain 140:395-396.
– reference: Seddon HJ (1975). Surgical Disorders of the Peripheral Nerves, 2nd Edn. Churchill Livingstone, New York, pp 21-23.
– reference: Flores LP (2006). Epidemiological study of the traumatic brachial plexus injuries in adults. Arq Neuropsiquiatr 64:88-94.
– reference: Daousi C, MacFarlane IA, Woodward A, Nurmikko TJ, Bundred PE, Benbow SJ (2004). Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes. Diabet Med 21:976-982.
– reference: Hans FJ, Reinges MH, Krings T (2004). Lumbar nerve root avulsion following trauma: balanced fast field-echo MRI. Neuroradiology 46:144-147.
– reference: Uzun N, Tanriverdi T, Savrun FK, Kiziltan ME, Sahin R, Hanimoglu H, Hanci M (2006). Traumatic peripheral nerve injuries: demographic and electrophysiologic findings of 802 patients from a developing country. J Clin Neuromuscul Dis 7:97-103.
– reference: Sterling M, Pedler A (2009). A neuropathic pain component is common in acute whiplash and associated with a more complex clinical presentation. Man Ther 14:173-179.
– reference: Robinson LR (2000). Traumatic injury to peripheral nerves. Muscle Nerve 23:863-873.
– reference: Huskisson EC (1974). Measurement of pain. Lancet 2:1127-1131.
– reference: Ferrante MA, Wilbourn AJ (2002). Electrodiagnostic approach to the patient with suspected brachial plexopathy. Neurol Clin N Am 20:423-450.
– reference: Beck A, Ward C, Mendelson M, Mock J, Erbaugh J (1961). An inventory to measure depression. Arch Gen Psychiatry 4:561-567.
– reference: Ware JE Jr, Sherbourne CD (1992). The MOS 36-item Short-Form Health Survey. Med Care 30:473-483.
– reference: Eser F, Aktekin LA, Bodur H, Atan C (2009). Etiological factors of traumatic peripheral nerve injuries. Neurol India 57:434-437.
– reference: Cales RH, Trunkey DD (1985). Preventable trauma deaths: a review of trauma care systems development. JAMA 254:1059-1063.
– reference: Noble J, Munro CA, Prasad VS, Midha R (1998). Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. J Trauma 45:116-122.
– volume: 47
  start-page: 123
  year: 2000
  end-page: 128
  article-title: Painful diabetic polyneuropathy: epidemiology, pain description, and quality of life
  publication-title: Diabetes Res Clin Pract
– volume: 95
  start-page: S56
  year: 1993
  end-page: S64
  article-title: Lesions found when operating traction injuries of the brachial plexus
  publication-title: Clin Neurol Neurosurg
– start-page: 921
  year: 1992
  end-page: 934
– volume: 8
  start-page: 45
  year: 2008
  end-page: 56
  article-title: A review of the epidemiology of painful diabetic peripheral neuropathy, postherpetic neuralgia, and less commonly studied neuropathic pain conditions
  publication-title: Pain Pract
– volume: 46
  start-page: 144
  year: 2004
  end-page: 147
  article-title: Lumbar nerve root avulsion following trauma: balanced fast field‐echo MRI
  publication-title: Neuroradiology
– volume: 21
  start-page: 976
  year: 2004
  end-page: 982
  article-title: Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes
  publication-title: Diabet Med
– volume: 70
  start-page: 1630
  year: 2008
  end-page: 1635
  article-title: Neuropathic pain: redefinition and a grading system for clinical and research purposes
  publication-title: Neurology
– volume: 7
  start-page: 97
  year: 2006
  end-page: 103
  article-title: Traumatic peripheral nerve injuries: demographic and electrophysiologic findings of 802 patients from a developing country
  publication-title: J Clin Neuromuscul Dis
– volume: 27
  start-page: 155
  year: 2006
  end-page: 160
  article-title: Pain affects the quality of life of neuropathic patients
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Snippet The objectives of this study were (1) epidemiological analysis of traumatic peripheral nerve injuries; (2) assessment of neuropathic pain and quality of life...
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SubjectTerms Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Brachial Plexus - injuries
Child
Child, Preschool
Cohort Studies
Comorbidity
Electromyography
Female
Humans
Iatrogenic Disease - epidemiology
iatrogenic nerve injuries
Infant
Italy - epidemiology
Male
Middle Aged
neuropathic pain
Pain - epidemiology
Pain - etiology
Pain - psychology
Peripheral Nerve Injuries
Peripheral Nervous System Diseases - epidemiology
Peripheral Nervous System Diseases - etiology
Peripheral Nervous System Diseases - psychology
Quality of Life
Regression Analysis
Sex Factors
Socioeconomic Factors
Trauma, Nervous System - complications
Trauma, Nervous System - epidemiology
Trauma, Nervous System - psychology
traumatic neuropathy
Work
Title Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients
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https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1529-8027.2010.00260.x
https://www.ncbi.nlm.nih.gov/pubmed/20626775
https://www.proquest.com/docview/733990049
https://www.proquest.com/docview/746236211
Volume 15
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