Nerve ultrasound to prevent and treat iatrogenic sural nerve injury

Coraci, Daniele; Giovannini, Silvia; Bernetti, Andrea; Cordenonssi, Julianne Tannous; Erra, Carmen; Piccinini, Giulia; Padua, Luca

doi:10.1016/j.jelekin.2018.08.007

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…In the current case, the patient had complete relief of symptoms following the procedure. This non-surgical treatment regime, combined with modifications in daily shoe wear and physical therapy, is an appropriate goal-directed treatment modality for pain relief of Haglund’s Deformity [ 3 , 9 , 10 ].…”

Section: Treatment Options Includementioning

confidence: 99%

Heel Pain Management in Haglund’s Deformity Targeting Sural Nerve Branches under Ultrasound Guidance: Case Report

Lotliker,

Verma,

Bhalla

et al. 2024

jocr

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Introduction: Haglund’s deformity is an abnormality of the bone and soft tissue of the foot, also known as retrocalcaneal exostosis, Mulholland deformity, and “pump bump”. The etiology is not well known. Probable causes include a tight Achilles tendon, a high arch of the foot, and hereditary. The clinical features consist of pain at the posterior aspect of the heel which is predominantly present when the patient begins to walk after a period of rest or inactivity. Case Report: We report a case of a 60-year-old teacher with left heel pain for 3 years, unable to stand or walk for more than 15 min due to pain. We diagnosed him as a case of Haglund’s deformity and treated him with ultrasound-guided injections targeting the superficial branches of the sural nerve. This case report illustrates a rarely described modality for the management of heel pain due to Haglund’s deformity. Targeting superficial branches of the Sural nerve under ultrasound guidance can act as a superior treatment modality for the management of heel pain due to Haglund’s deformity. Conclusion: Haglund's deformity is a cause of pain in the hindfoot that should be taken into account in the differential diagnosis of any patient presenting with heel pain. Ultrasonography has proved to be an important cost-effective tool in the diagnosis and management of various ankle pathologies like Haglund’s deformity, thereby reducing the sole dependence on surgical management. Targeting the superficial (cutaneous) branches of the sural nerve can give satisfactory long-term relief of heel pain in patients with Haglund deformity. Keywords: Haglund’s deformity, heel pain, ultrasound-guided injection, sural nerve, rehabilitation.

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Section: Treatment Options Includementioning

confidence: 99%

Heel Pain Management in Haglund’s Deformity Targeting Sural Nerve Branches under Ultrasound Guidance: Case Report

Lotliker,

Verma,

Bhalla

et al. 2024

jocr

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“…It may be utilized to plan the surgical treatment safely. In addition, ultrasonography allows to localize the nerve lesion and help to choose the appropriate treatment [ 18 ].…”

Section: The Infrapatellar Branch Of the Saphenous Nerve Injurymentioning

confidence: 99%

Diagnosis and treatment of the most common neuropathies following knee injuries and reconstructive surgery – A narrative review

Szwedowski

Ambroży²,

Grabowski

et al. 2021

Heliyon

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The main nerves in the knee region are the tibial nerve, the common peroneal nerve, and the saphenous nerve. These three nerves innervate the lower leg and foot, providing sensory and motor function. The large sciatic nerve splits just above the knee to form the tibial and common peroneal nerves. The tibial nerve travels down in the posterior region, while the common peroneal nerve runs around the lateral side of the knee and runs down the front of the leg to the foot. Although all these nerves can be affected by injuries of the knee, the infrapatellar branch of the saphenous nerve (IPBSN) and the common peroneal nerve (CPN) are most affected. In this narrative review we focus on neuropathies associated with nerves located in the region of the knee joint in the context of their injuries and possible iatrogenic damage during reconstructive surgery.

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“…[52,53]. There is not yet much information on the use of preoperative ultrasound to prevent nerve injury, but a few papers illustrate the useful role nerve ultrasounds can play in preventing iatrogenic injury [54,55]. Nerves at risk for iatrogenic injury that can be easily located and marked as pre-operative with nerve ultrasound, are summarized in Table 1 [9,[56][57][58].…”

Section: Preventing Iatrogenic Nerve Injury: Preoperative Use Of Ultrasound For Injury Preventionmentioning

confidence: 99%

Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury

2020

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Peripheral nerve injury is a potentially debilitating disorder that occurs in an estimated 2–3% of all patients with major trauma, in a similar percentage of medical procedures. The workup of these injuries has traditionally been clinical, combined with electrodiagnostic testing. However, this has limitations, especially in the acute phase of the trauma or lack of any recovery, when it is very important to determine nerve continuity and perform surgical exploration and repair in the case of the complete transection or intraneural fibrosis. Ultrasound can help in those situations. It is a versatile imaging technique with a high sensitivity of 93% for detecting focal nerve lesions. Ultrasound can assess the structural integrity of the nerve, neuroma formation and other surrounding abnormalities of bone or foreign bodies impeding the nerve. In addition, this can help to prevent iatrogenic nerve injury by marking the nerve before the procedure. This narrative review gives an overview of why and how nerve ultrasound can play a role in the detection, management and prevention of peripheral nerve injury.

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Nerve ultrasound to prevent and treat iatrogenic sural nerve injury

Cited by 5 publications

References 4 publications

Heel Pain Management in Haglund’s Deformity Targeting Sural Nerve Branches under Ultrasound Guidance: Case Report

Heel Pain Management in Haglund’s Deformity Targeting Sural Nerve Branches under Ultrasound Guidance: Case Report

Diagnosis and treatment of the most common neuropathies following knee injuries and reconstructive surgery – A narrative review

Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury

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