A Proposed Etiology for Tourniquet-Induced Neuropathies

[+] Author and Article Information
A. J. Hodgson

Mechanical Engineering Department, University of British Columbia, Vancouver, BC Canada V6T 1W5

J Biomech Eng 116(2), 224-227 (May 01, 1994) (4 pages) doi:10.1115/1.2895723 History: Received April 03, 1992; Revised June 08, 1993; Online March 17, 2008


Pneumatic tourniquets are used in limb surgery to provide a bloodless operating field, but they can also cause nerve injuries. These injuries are thought to be mechanically induced, although no previous work has quantified such a mechanism. This paper hypothesizes that axial compression of the nerve leads to damage at the nodes of Ranvier and presents simulation results based on this hypothesis which are in substantial agreement with clinical observations.

Copyright © 1994 by The American Society of Mechanical Engineers
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