Ultrasound elastography as a potential method to evaluate entrapment neuropathies in elite athletes: a mini-review

Dąbrowska-Thing, Agnieszka; Zakrzewski, Jakub; Nowak, Oleg; Nitek, Żaneta

doi:10.5114/pjr.2019.92422

Cited by 11 publications

(10 citation statements)

References 37 publications

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“…In addition to shorter acquisition time and less discomfort, advantages of ultrasound include wide availability, cheap price, and non-invasive nature. [ 1 – 3 ] Conventional ultrasound can quantify cross sectional area (CSA) of the peripheral nerves and can also detect some morphological changes like alteration in the nerve echogenicity. [ 1 , 4 ] Conventional ultrasound was reported to be of great benefit in the diagnosis of different acquired and hereditary neuropathies.…”

Section: Introductionmentioning

confidence: 99%

Shear wave elastography of the tibial nerve in healthy subjects

Bedewi¹,

Elsifey²,

Alfaifi³

et al. 2021

Medicine

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The purpose of this study is to investigate sonoelastographic features of the tibial nerve. The study included 72 tibial nerves in 36 healthy subjects. High resolution ultrasound and Shear wave elastography were used to evaluate the tibial nerve. Cross sectional area and stiffness were measured. The mean cross sectional area of the tibial nerve was 13.4 mm2. The mean shear elastic modulus of the tibial nerve in the short axis was 23.3 kPa. The mean shear elastic modulus of the tibial nerve in long axis was 26.1 kPa. The tibial nerve elastic modulus also showed no correlation with cross sectional area neither in the long axis nor short axis. Age, height, weight, and body mass index showed no correlation with tibial nerve elastic modulus in short or long axes. The elastic modulus of the tibial nerve has been determined in healthy subjects and can serve as a reference for future assessment of polyneuropathy.

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Section: Introductionmentioning

confidence: 99%

Shear wave elastography of the tibial nerve in healthy subjects

Bedewi¹,

Elsifey²,

Alfaifi³

et al. 2021

Medicine

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“…[13] Several important peripheral nerves were studied by elastography like the median, sciatic, and tibial nerves, in normal subjects and in cases of peripheral neuropathy. [15][16][17][18][19][20][21][22][23][24][25] The aim of this work is to study the sonoelastographic features of the common fibular nerve in healthy adult subjects.…”

Section: Introductionmentioning

confidence: 99%

Shear wave elastography of the common fibular nerve at the fibular head

et al. 2022

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The aim of this work is to study the sonoelastographic features of the common fibular nerve in healthy adult subjects.This is an observational cross-sectional study. Shear wave elastography was used to evaluate the common fibular nerve. Crosssectional area and stiffness were measured in kilopascal (kPa) and meters/second (m/s).The study included 82 common fibular nerves in 41 healthy adult subjects. The mean cross-sectional area of the common fibular nerve at the fibular head was 8.7 mm 2 . Positive correlation was noted between stiffness measurements between short and long axes by both methods. The mean stiffness of the common fibular nerve in the short axis was 22.5 kPa, and in the long axis (LA) was 35.4 kPa. Positive correlation was noted between height and stiffness measured by both methods in both axes by kPa. In m/s, the mean stiffness of the common fibular in the short axis was 2.6 m/s, and while in the LA was 3.4 m/s. Height showed positive correlation with both axes for stiff measurements in m\s. Weight showed positive correlation with stiffness measurements by m/s in the LA.The results obtained in our study could be a reference point for evaluating stiffness of the common fibular nerve in research involving different pathologies.Abbreviations: BMI = body mass index, CSA = cross-sectional area, kPa = kilopascal, LA = long axis, m/s = meters/second, SA = short axis, SWE = shear wave elastography.

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“…Furthermore, the elasticity of nerve was also an important parameter to evaluate entrapment neuropathies. A systemic review revealed the median nerve became stiffer after compression under shear wave elastography quantification [ 7 , 8 ]. Shear wave elastography had high sensitivity to detect changes in median nerve elasticity [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Perineural Injection with Different Dextrose Volumes on Median Nerve Size, Elasticity and Mobility in Hands with Carpal Tunnel Syndrome

et al. 2021

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This study aimed to investigate the effect of different injectate volumes on ultrasonographic parameters and the correlation to clinical outcomes under perineural dextrose injection (PDI). In this post hoc analysis of the randomized, double-blinded, three-arm trial, ultrasound-guided PDI with either 1 mL, 2 mL, and 4 mL 5% dextrose water was administered, respectively, in 14, 14, and 17 patients. Ultrasound outcomes included mobility, shear-wave elastography (SWE), and cross-sectional area (CSA) of the median nerve; clinical outcomes were Visual Analog Scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ) score. Outcomes were measured before injection, and after injection at the 1st, 4th, 12th, and 24th week. For ultrasound outcomes, CSA decreased significantly from baseline data at all follow-up time-points in the 2 mL group (p = 0.005) and the 4 mL group (p = 0.015). The mean change of mobility from baseline showed a greater improvement on the 4 mL group than the other groups at the 1st week post-injection. For clinical outcomes, negative correlation between the VAS and mobility at the 1st (p = 0.046) and 4th week (p = 0.031) post-injection in the 4 mL group were observed. In conclusion, PDI with higher volume yielded better nerve mobility and decreased CSA of median nerve, but no changes of nerve elasticity.

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Ultrasound elastography as a potential method to evaluate entrapment neuropathies in elite athletes: a mini-review

Cited by 11 publications

References 37 publications

Shear wave elastography of the tibial nerve in healthy subjects

Shear wave elastography of the tibial nerve in healthy subjects

Shear wave elastography of the common fibular nerve at the fibular head

Effect of Perineural Injection with Different Dextrose Volumes on Median Nerve Size, Elasticity and Mobility in Hands with Carpal Tunnel Syndrome

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