Current interpretation of the classification of peripheral nerve injuries

Abstract

The issue of systematizing various forms of damage to peripheral nerves remains controversial topic to this day. The lack of a modern unified classification which includes anatomical, morphofunctional and clinical components is accompanied by difficulties in formulating a diagnosis for physicians of related specialties which subsequently leads to difficulties in resolving expert and regulatory issues. The current working clinical classification of peripheral nerve injuries accepted in our country was developed by Soviet scientists A.N. Solomin (1975), K.A. Grigorovich (1981) and supplemented by prof. F.S. Govenko (2010). Like those developed earlier this classification is not exhaustive and has contradictions in the modern interpretation of the proposed terms. The question of the applicability of this classification in patients with combat trauma remains open which becomes especially relevant in the context of current military conflicts. In this article the authors offer their vision of the modern classification of peripheral nerve injuries based on existing ones in the hope that it will help resolve a number of terminological disagreements.