December 9, 1988

Microreconstruction of Nerve Injuries

Author Affiliations

Lahey Clinic Medical Center Burlington, Mass

Lahey Clinic Medical Center Burlington, Mass


by Julia K. Terzis, 675 pp, with illus, $89, Philadelphia, WB Saunders Co, 1987.

JAMA. 1988;260(22):3348. doi:10.1001/jama.1988.03410220132044

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This fine volume contains 51 authoritative contributions from around the world dealing with the field of nerve injury, largely with a basic science orientation. There is a wealth of clinical discussion as well.

Nerve injuries are dealt with by a number of surgical specialists, including neurosurgeons, plastic surgeons and hand surgeons, orthopedic surgeons, and general surgeons. It is truly a multidisciplinary field, and Dr Terzis has brought together leading experts.

The question of epineurial vs perineurial repair is discussed. The additional dissection involved in a perineurial repair does not appear to pay off in terms of results. Included are a comprehensive section on facial palsy and a fine chapter on obstetric brachial plexus injuries. Free muscle grafts to compensate for deficits, injection neuropathies, free nerve grafts, models for research on nerve injuries, painful neuroma, and intercostal neurotization are all discussed. The volume is very well illustrated and referenced.

Each section