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Non-freezing cold injuries (NFCI) is a class of tissue damage caused by sustained exposure to low temperature without actual freezing. [1] There are several forms of NFCI, and the common names may refer to the circumstances in which they commonly occur or were first described, such as trench foot, which was named after its association with trench warfare.
This may result in destruction of small blood vessels, which leads to swelling, nerve damage, and tissue breakdown due to pressure injury. [5] [15] Distinction between acute and chronic mechanisms of nonfreezing cold injury has been discussed. [5] Acute cases involve disruption of blood flow with breakdown of affected tissue and nerve damage. [5]
A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body.
Trench foot is damage to nerves and blood vessels that results from exposure to cold wet (non-freezing) conditions. [17] This is reversible if treated early. Pernio or chilblains are inflammation of the skin from exposure to wet, cold (non-freezing) conditions. They can appear as various types of ulcers and blisters. [10]
This type of nerve damage may cause paralysis of the motor, sensory, and autonomic functions, and is mainly seen in crush injury. [2] If the force creating the nerve damage is removed in a timely fashion, the axon may regenerate, leading to recovery. Electrically, the nerve shows rapid and complete degeneration, with loss of voluntary motor units.
The median nerve controls the majority of the muscles in the forearm. It controls abduction of the thumb, flexion of hand at wrist, flexion of digital phalanx of the fingers, is the sensory nerve for the first three fingers, etc. Because of this major role of the median nerve, it is also called the eye of the hand. [1]
The latter involves compression at the wrist of the superficial sensory branch of the radial nerve which does not innervate hand muscles. [citation needed] Robert Wartenberg (1887-1956) was a neurologist born in Belarus who worked in Germany until 1935 when he emigrated to the United States. He was widely published and described a number of ...
Cheiralgia paraesthetica (Wartenberg's syndrome) is a neuropathy of the hand generally caused by compression or trauma to the superficial branch of the radial nerve. [1] [2] The area affected is typically on the back or side of the hand at the base of the thumb, near the anatomical snuffbox, but may extend up the back of the thumb and index finger and across the back of the hand.