Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-07T15:10:15 RDF description of Significant prevalence of nerve injuries associated with extremity civilian low-energy gunshot wounds with limited recovery of functional deficits - http://repository.healthpartners.com/individual/document-rn47296 Leg 24035 document-rn47296 2025-04-30T21:01:35.521-05:00 Arm 70 41650 Injuries public Nerve injury 10.1016/j.jor.2025.03.038 Extremity gunshot wound <p>This study aimed to quantify rates of nerve involvement, management strategies, and return of functional impairment in patients with civilian extremity gunshot wounds. We performed a retrospective review of 34 patients presenting with extremity gunshot wounds with nerve injury to our level 1 trauma center between January 2019 and October 2021. The incidence of nerve involvement and functional deficits after extremity GSW and rate of return of function after operative or non-operative management were reported. Nerve involvement was found in 34 (34 %) patients in the cohort with 23 (68 %) involving the upper extremities and 11 (32 %) involving lower extremities. Among patients with nerve injuries, 81 % had concomitant fractures. 59 % of patients reporting sensory only, 34 % sensory and motor, and 6 % motor only deficits. 31 % of nerve injuries underwent a surgical procedure targeting their nerve injury with the remaining 69 % managed nonoperatively. Complete resolution of nerve functional deficits in the 29 patients with at least 90 days of follow-up or full return of function was reported in 22 % and 32 % of patients who were treated operatively and nonoperatively, respectively (p = 0.62). Nerve injuries were found in approximately one-third of the extremity gunshot wounds at our trauma center. These injuries carried poor prognosis with low recovery rate with either operative or non-non operative treatment.<p> Journal of orthopaedics Significant prevalence of nerve injuries associated with extremity civilian low-energy gunshot wounds with limited recovery of functional deficits