Examination of Postoperative Peripheral Nerve Lesions with  High-Resolution Sonography

Peer, Siegfried; Bodner, Gerd; Meirer, Romed; Willeit, Johann; Piza‐Katzer, Hildegunde

doi:10.2214/ajr.177.2.1770415

Cited by 111 publications

(72 citation statements)

References 12 publications

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“…24 Ultrasound has been shown to be an efficient, noninvasive, and low-cost method of imaging traumatic peripheral nerve pathologies. 9,10,16,21,22,24,26 After trauma, HRU can differentiate between rupture of a nerve bundle and fibroblast infiltration, which results in the formation of a traumatic neuroma. 24 Padua et al 21 showed that ultrasound was able to aid in the diagnosis or modification of the therapeutic path in 60% of patients with traumatic nerve lesions and, Fig.…”

Section: Discussionmentioning

confidence: 99%

“…3 Review of the literature shows that ultrasound is successful in clearly and accurately demonstrating complete or partial transections, nerve lacerations, epineural hematoma, and neuroma formation as well as the adequacy of postsurgical repair. 9,10,16,21,22,24,26 In this paper, we present 4 cases in which HRU accurately demonstrated the anatomy and extent of traumatic peripheral nerve injury and guided the surgical management for these patients.…”

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confidence: 99%

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The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: report of 4 cases

Zeidenberg

Burks

Jose

et al. 2015

FOC

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Ultrasound technology continues to improve with better image resolution and availability. Its use in evaluating peripheral nerve lesions is increasing. The current review focuses on the utility of ultrasound in traumatic injuries. In this report, the authors present 4 illustrative cases in which high-resolution ultrasound dramatically enhanced the anatomical understanding and surgical planning of traumatic peripheral nerve lesions. Cases include a lacerating injury of the sciatic nerve at the popliteal fossa, a femoral nerve injury from a pseudoaneurysm, an ulnar nerve neuroma after attempted repair with a conduit, and, finally, a spinal accessory nerve injury after biopsy of a supraclavicular fossa lesion. Preoperative ultrasound images and intraoperative pictures are presented with a focus on how ultrasound aided with surgical decision making. These cases are set into context with a review of the literature on peripheral nerve ultrasound and a comparison between ultrasound and MRI modalities.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: report of 4 cases

Zeidenberg

Burks

Jose

et al. 2015

FOC

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“…Он состоит из соединительной тка-ни, сосудов и лимфатических протоков и до-статочно плотный, чтобы отражать ультразвук, в результате чего перинервий является гипер-эхогенным. Ствол периферического нерва сос-тоит из нескольких нервных пучков и окружён толстой оболочкой -эпиневрием, который при уЗИ отображается как толстые эхогенные ли-нии [46]. В 1995 г. E. Silvestri с соавторами сообщили о явной корреляции ультразвукового и гисто-логического изображений седалищного нерва [53].…”

Section: ультразвуковые критерии повреждения периферического нерваunclassified

“…уЗИ позволяет выявить различные (до-и постганглионарные) повреждения стволов пле-чевого сплетения, в том числе и у детей [38,46]. J.R. Joseph с соавторами описали методику уЗ диагностики повреждений плечевого сплетения в неонатальном периоде после акушерских по-собий во время родовспоможения [35].…”

Section: ультразвуковые критерии повреждения периферического нерваunclassified

High-resolution ultrasonography in the diagnosis and management of peripheral nerve lesions (review)

Айтемиров

Нинель

Коршунова

et al. 2015

Traumatology and Orthopedics of Russia

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The diagnosis of peripheral nerve lesions relies on clinical history, physical examination, electrodiagnostic studies, and radiography. The availability of these methods may be limited, and the costs can be significant. By comparison, ultrasonography is a comfortable, sensitive and economic technology, however, until now it is not widespread in Russia. An increasing number of publications have evaluated the role of ultrasonography in peripheral nerve diseases. The authors explored the clinical applicability of high-resolution ultrasonography in the preoperative and intraoperative management of peripheral nerve lesions.

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“…[2][3][4][5] The ability of high-frequency transducers to display neurologic structures in exquisite detail coupled with a dynamic component to the study makes sonography an attractive adjunct to clinical evaluation. 1,6 Among the upper extremity entrapment neuropathies, posterior interosseous nerve (PIN) syndrome (or supinator syndrome) has been described using magnetic resonance imaging and sonography. 7 In this condition, the PIN may be entrapped as it courses under the arcade of Frohse and enters the supinator muscle ( Figure 1).…”

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confidence: 99%

Posterior Interosseous Nerve of the Elbow

Dong

Jamadar

Robertson

et al. 2010

Journal of Ultrasound in Medicine

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Objective. In our clinical practice, we have noted a caliber change of the posterior interosseous nerve (PIN) at the elbow as seen in the long axis on sonography simulating nerve entrapment. The objective of this study was to characterize the PIN using sonography in asymptomatic individuals. Methods. Our study retrospectively characterized the PIN in 50 elbows of 47 asymptomatic patients with sonography. Measurements of the PIN in a short‐axis cross section using the circumferential trace technique and the anteroposterior (AP) dimension in the long axis were made proximal, at, and distal to the arcade of Frohse. Results. There was reduction of the AP dimension of the PIN distal to the arcade of Frohse when compared with the measurements at the arcade of Frohse and proximal to the arcade (P < .0001); however, there was no significant difference between the cross‐sectional area of the PIN at all 3 levels (P = .59). Conclusions. The PIN normally flattens as it enters into the supinator muscle without a notable change in the cross‐sectional area. This appearance should not be misinterpreted as nerve entrapment when imaged in the long axis.

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Examination of Postoperative Peripheral Nerve Lesions with High-Resolution Sonography

Cited by 111 publications

References 12 publications

The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: report of 4 cases

The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: report of 4 cases

High-resolution ultrasonography in the diagnosis and management of peripheral nerve lesions (review)

Posterior Interosseous Nerve of the Elbow

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