Objective To investigate the sensation of the fingers innervated by the brachial plexus roots and provide the theoretic basis for diagnosis of a brachial plexus injury. Methods From June 2003 to January 2005，10 patients (8 males, 2 females; age,18-47 years) with complete brachial plexus avulsion were involved in this study, who underwent thecontralateral C7 nerve root transfer. The latency and amplitude of the sensory nerve actiopotential(SNAP) were record at the C5 T1 nerve roots when stimulation was given at the fingers.Results When the thumb and the index finger were stimulated and SNAP was recorded at all the roots of the brachial plexus in all the patients, we found that there was a higher amplitude and a shorter latency at the C5-7 roots than at the C8 and T1 roots(P＜0.05). When the middle finger was stimulated and SNAP was recorded at the C7,8 and T1 roots, we found that there was the highest amplitude and the shortest laency at the C7 root(P＜0.01). When the ring finger was stimulated and SNAP was recorded at the C7,8and T1 roots, we found that there was a higher amplitude and a shorter latency at the C8 and T1 roots than at the C7 root(P＜0.01). When the little finger was stimulated and SNAP was recorded at the C7,8and T1 roots, we found that there was the highest amplitude and the shortest latency at the T1 root(P＜0.01). ConclusionThe sense of the thumband the index finger is mainly nnervated by the C5-7 roots, the middle finger sense is mainly innervated by the C7 root, the ring finger sense is mainly innervated by the C8 and T1 roots, and the little finger sense is mainly innervated by the T1 root.
Objective To explore the rule of changes in the myoblast stem cells (satellite cells) in the denervated and innervated muscles and to find out thecellular mechanism of the changes in the muscle morphology and function. Methods The denervated muscleatrophy models were established from 27 Wistar rats aged 1 month. One to six months after operation, examinations of the histology, histochemistry, and morphology were performed on the specimens from the bilateral triceps muscle of the calves of 3 rats in each month. Meanwhile, examination of the cell biology was performed on the specimens from the bilateral triceps muscleof the calves of 1 rat 1, 2 and 3 weeks after operation, and monthly for 1-6 months after operation. The innervation models were established from 35 Wistar rats aged 1 month. Immediately after the denervation, and monthly for 1-6 months after operation, 5 denervated rats underwent the nerve implantation. The changes in the electrophysiological index were observed dynamically until 8 weeks after the nerve implantation.Results After the denervation, the muscle wet weight and the muscle cell area decreased rapidly, but the content of the collagen fibers increased gradually. The number of the nucleus in the period of proliferationwas the greatest 3-4 months after the denervation, and then decreased rapidly.The muscle satellite cells began to increase obviously 3 weeks after the denervation, but 2 months later they decreased rapidly and 4 months later the number of the cells was the smallest. Four to five weeks after innervation, the muscle action potential could be induced, and the best innervation effect could be achieved in the implanted nerve after the 2-3 months on denervation, and at this time the differentiation ability of the satellite cells was the best. Conclusion Four months after the denervation of the skeletal muscle, an extremely small number of the satellite cells can make the muscle enter the irreversible atrophy. However, when the innervation is performed 2-3 months after the denervation, the actively-growing satellite cells can promote a better functional recovery ofthe atrophic muscle.
Objective To investigate the effects of the nerve, endocrine, and immune factors on the process of wound healing and regeneration of the skin after injury and to review the research work in the past years in this area. Methods The prospective study was made to explore the relationship among the nerve, endocrine, immune factors, and skin tissue repair and regeneration, and to summarize the recent advance in this area. Results The nerve, endocrine, and immune factors played an important role in the repair and generation of the skin after injury. Conclusion As there has been fewer studies made in this field, we should reinforce the related basic research in this field.