Preliminary study of the types of traumatic peripheral nerve injuries by ultrasound

Zhu, Jiaan; Liu, Fang; Li, Diancheng; Junjie, Shao; Hu, Bing

doi:10.1007/s00330-010-1992-3

Cited by 53 publications

(41 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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.…”

mentioning

confidence: 98%

“…15 High-resolution ultrasonography (HRU) has been shown to be a useful tool in the diagnosis of peripheral nerve lesions. 1,3,5,16,21,26 HRU can easily identify all the main nerve trunks running in the limbs, including the median, ulnar, and radial nerves in the upper limbs and the sciatic, common peroneal, and posterior tibial nerves in the lower limbs. 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.…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Zeidenberg

Burks

Jose

et al. 2015

FOC

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

mentioning

confidence: 99%

See 1 more Smart Citation

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

Zeidenberg

Burks

Jose

et al. 2015

FOC

View full text Add to dashboard Cite

show abstract

“…An ultrasound allows early detection, with 93% accuracy, of severe posttraumatic nerve damage (sunderland IV and V degree), by showing either a discontinuity or hypoechogenic neuroma, formed on a stump or trunk of the nerve. Thus, an ultrasound hastens the decision to undertake possible surgical intervention [23]. hRUs localizes the point in which discontinuity occurred or where a neuroma formed with up to millimeter accuracy ( fig.…”

Section: Traumatic Nerve Damagementioning

confidence: 99%

Methodology and indications for high-resolution sonography (HRUS) of the nerves

Böhm¹

2015

fmpcr

View full text Add to dashboard Cite

A -study Design, B -Data Collection, C -statistical Analysis, D -Data Interpretation, E -manuscript Preparation, F -Literature search, G -funds Collection Imaging-techniques of the peripheral nervous system such as high-resolution ultrasonography (hRUs) and mR--neurography are increasingly utilized worldwide for the investigation of peripheral nerve disorders. Both methods provide important informations about the morphology of the peripheral nerves, nerve-roots and the brachial plexus. The low cost in comparison with mR-neurography, possibility of a dynamic examination, assessing long nerves segments in a short time, bedside-availability, non-invasivity and the possibility of Us-guided nerves blocks and therapies make hRUs the ideal imaging tool in peripheral nerve diseases. hRUs allows the detection of alterations even in single fascicles and the perineurium and provides important additional information on morphological aspects and etiology of peripheral nerve pathology. It allows a precise localisation of the nerve lesion and provides information about the underlying etiology. hRUs is especially useful in detecting structural abnormalities of the nerves caused by compression, trauma, tumor, inflammation and a variety of non-neoplastic conditions, including nerve torsion. hRUs can be helpful in operation planning, intraoperative management and in detecting the causes of failed operations. This review presents an overview about the most relevant neurological applications of hRUs taking into account the personal experiences of the author. Key words: high-resolution ultrasound, peripheral nerve entrapment-syndrome, injuries of the peripheral nerves, tumors of the peripheral nerve sheath, polyneuropathy, nerve torsion.Techniki obrazowe, jak wysokorozdzielcza ultrasonografia (high-resolution ultrasonography, hRUs) oraz neurografia rezonansu magnetycznego, znajdują coraz szersze zastosowanie w diagnostyce chorób obwodowego układu nerwowego. obie metody dostarczają istotnych informacji o morfologii nerwów obwodowych, korzeni rdzeniowych oraz splotu barkowego. Zalety hRUs, czyniące z tej metody idealne narzędzie do obrazowania nerwów obwodowych, to: niski koszt (w porównaniu z neurografią rezonansu magnetycznego), dynamiczna ocena morfologiczna, możliwość oceny długich odcinków nerwów w krótkim czasie, możliwość diagnostyki przy łóżku pacjenta, nieinwazyjność oraz możliwość nawigacji przy blokadach i innych zabiegach. W obecnym stopniu zaawansowania technologicznego hRUs pozwala wykryć zmiany nawet w pojedynczych włóknach nerwowych, w onerwiu i w nanerwiu oraz przynosi istotną, dodatkową informację o zmianach morfologicznych i etiologii chorób nerwów obwodowych. hRUs umożliwia ponadto precyzyjną lokalizację uszkodzenia nerwu i dostarcza informacji o jego etiologii. szczególną przydatność metoda wykazuje w wykrywaniu strukturalnych zmian, powodowanych przez ucisk, jak w zespole cieśni nadgarstka oraz w uszkodzeniu nerwu łokciowego w rowku, przez uraz, guz, zapalenie oraz innego typu uszkodzenia jak skręcenie. metoda pom...

show abstract

“…Таким образом, ультразвуковое исследова-ние является весьма информативным методом исследования при травматических повреждени-ях стволов плечевого сплетения и перифериче-ских нервов конечностей, а также при компрес-сионных невропатиях и опухолях невральных стволов, при этом его чувствительность состав-ляет 96,7%, а специфичность -99,5% [16,34,60]. Данный метод способствует ранней диагности-ке и предоперационному планированию адек-ватного хирургического лечения у данной кате-гории пациентов.…”

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

View full text Add to dashboard Cite

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.

show abstract

Preliminary study of the types of traumatic peripheral nerve injuries by ultrasound

Abstract: Ultrasound seems to be a valuable investigation for evaluating the type of traumatic peripheral nerve injury.

Cited by 53 publications

References 15 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

Methodology and indications for high-resolution sonography (HRUS) of the nerves

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

Contact Info

Product

Resources

About