Peripheral Nerve Injuries: A Clinical Guide by Rolfe Birch Rolfe Birch Rolfe Birch & Rolfe Birch

Author:Rolfe Birch, Rolfe Birch, Rolfe Birch & Rolfe Birch
Language: eng
Format: epub
Publisher: Springer London, London

Motor recovery

Sensory recovery

Good

Dorsiflexion and eversion  ≥  MRC 4

No spontaneous pain; no hypersensitivity

Fair

Dorsiflexion MRC 3+ to 4

No spontaneous pain, no, or only mild, hypersensitivity

or

Eversion MRC 3+ to 4

or

Dorsiflexion and eversion MRC 2–3

Poor

Less than the above

Spontaneous pain or significant sensitivity

Table 3.2Grading of recovery for the tibial nerve: all levels

Good

Heel flexors MRC 4 or better. Tibialis posterior, flexor digitorum longus, and flexor hallucis longus MRC 3. Return of sweating. No fixed deformity, no trophic disturbance. Normal Shoes

Accurate localisation, pain and temperature sense, no hypersensitivity; no spontaneous pain

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