Back to the roots of rheumatology – Imaging of regional pain syndromes

Bruns, Alessandra; Möller, Ingrid; Martinoli, Carlo

doi:10.1016/j.berh.2020.101630

Cited by 2 publications

(4 citation statements)

References 114 publications

(120 reference statements)

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“…One of its unique advantages is that it allows the dynamic–functional study of musculoskeletal structures. Ultrasonography has been extensively validated for assessing superficial tendons and muscles [ 19 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Examining the Forearm Intersection through Palpation and Ultrasonography

Naredo,

Murillo-González,

Mérida Velasco

et al. 2024

Diagnostics

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Background: Forearm intersection syndrome causes pain, swelling, and a rub at the dorsal distal forearm where the first extensor compartment muscles intersect with the second compartment tendons. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. This proof-of-concept study aims to help detect the anatomical substrate of forearm intersection syndrome using palpation and ultrasonography when available. Methods: Five individuals were studied using independent palpation and ultrasonography to identify the first dorsal compartment muscles and the second dorsal compartment tendons. The distances between the dorsal (Lister’s) tubercle of the radius and the ulnar and radial edges of the first dorsal compartment muscles were measured to determine the location and extent of the muscle–tendon intersection. The palpatory and ultrasonographic measurements were compared using descriptive statistics and the paired t-test. Results: The mean distances from the dorsal tubercle of the radius to the ulnar and radial borders of the first dorsal compartment muscles were 4.0 cm (SE 0.42) and 7.7 cm (SE 0.56), respectively, based on palpation. By ultrasonography, the corresponding distances were 3.5 cm (SD 1.05, SE 0.47) and 7.0 cm (SD 1.41, SE 0.63). Both methods showed a similar overlap length. However, ultrasonography revealed a shorter distance between the dorsal tubercle of the radius and the ulnar border of the first compartment than palpation (p = 0.0249). Conclusions: Our findings indicate that a basic knowledge of anatomy should help health professionals diagnose forearm intersection syndrome through palpation and, if available, ultrasonography.

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Section: Discussionmentioning

confidence: 99%

Examining the Forearm Intersection through Palpation and Ultrasonography

Naredo,

Murillo-González,

Mérida Velasco

et al. 2024

Diagnostics

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“…In the early stages, the symptoms are intermittent, but later pain usually becomes constant and more intense (3) . Entrapment neuropathies in the pelvic region represent a group of chronic pain syndromes that significantly impede the quality of e140 J Ultrason 2021; 21: e139-e146 Urša Burica Matičič, Rok Šumak, Gregor Omejec, Vladka Salapura, Žiga Snoj clinical suspicion is of great importance (2,7) . Different imaging modalities play an important role in the diagnostic work-up.…”

Section: Introductionmentioning

confidence: 99%

“…or intrinsic nerve abnormality (neurogenic tumor, intraneural ganglion cyst etc.) ( 1 , 2 ) . The condition presents as a shooting or burning sensation associated with tingling and numbness in the cutaneous innervation area.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided injections in pelvic entrapment neuropathies

et al. 2021

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Pelvic entrapment neuropathies represent a group of chronic pain syndromes that significantly impede the quality of life. Peripheral nerve entrapment occurs at specific anatomic locations. There are several causes of pelvic entrapment neuropathies, such as intrinsic nerve abnormality or inflammation with scarring of surrounding tissues, and surgical interventions in the abdomen, pelvis and the lower limbs. Entrapment neuropathies in the pelvic region are not widely recognized, and still tend to be underdiagnosed due to numerous differential diagnoses with overlapping symptoms. However, it is important that entrapment neuropathies are correctly diagnosed, as they can be successfully treated. The lateral femoral cutaneous nerve, ischiadic nerve, genitofemoral nerve, pudendal nerve, ilioinguinal nerve and obturator nerve are the nerves most frequently causing entrapment neuropathies in the pelvic region. Understanding the anatomy as well as nerve motor and sensory functions is essential in recognizing and locating nerve entrapment. The cornerstone of the diagnostic work-up is careful physical examination. Different imaging modalities play an important role in the diagnostic process. Ultrasound is a key modality in the diagnostic work-up of pelvic entraptment neuropathies, and its use has become increasingly widespread in therapeutic procedures. In the article, the authors describe the background of pelvic entrapment neuropathies with special focus on ultrasound-guided injections.

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Back to the roots of rheumatology – Imaging of regional pain syndromes

Cited by 2 publications

References 114 publications

Examining the Forearm Intersection through Palpation and Ultrasonography

Examining the Forearm Intersection through Palpation and Ultrasonography

Ultrasound-guided injections in pelvic entrapment neuropathies

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