Preoperative evaluation of peripheral nerve injuries: What is the place for ultrasound?

Journal of Neurosurgery
Francesca ToiaAdriana Cordova

Abstract

OBJECTIVE The purpose of this study was to evaluate the usefulness of ultrasound in the preoperative workup of peripheral nerve lesions and illustrate how nerve ultrasonography can be integrated in routine clinical and neurophysiological evaluation and in the management of focal peripheral nerve injuries. The diagnostic role and therapeutic implications of ultrasonography for different neuropathies are described. METHODS The authors analyzed the use of ultrasound in 119 entrapment, tumoral, posttraumatic, or postsurgical nerve injuries of limbs evaluated in 108 patients during 2013 and 2014. All patients were candidates for surgery, and in all cases the evaluation included clinical examination, electrodiagnostic studies (nerve conduction study and electromyography), and ultrasound nerve study. Ultrasound was used to explore the nerve fascicular echotexture, continuity, and surrounding tissues. The maximum cross-sectional area (CSA) and the presence of epineurial hyperechogenicity or intraneural hyper- or hypoechogenicity, of anatomical anomalies, dynamic nerve dislocations, or compressions were recorded. The concordance rate of neurophysiological and ultrasonographic data was analyzed, classifying ultrasound findings as confirm...Continue Reading

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Citations

Mar 25, 2017·Journal of Neurosurgery·Liverana LaurettiEduardo Fernandez
Oct 1, 2019·Pain·Nina Stockfleth BuchLone Nikolajsen
Oct 4, 2020·Skeletal Radiology·Garret M PowellKatrina N Glazebrook
May 8, 2018·Emergency Radiology·Shane MallonAndrew Petraszko
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Jan 18, 2019·Medicine·Jung Soo Lee, Yeo Hyung Kim
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May 8, 2021·Current Pain and Headache Reports·Sydney SchmidtAlaa Abd-Elsayed
May 28, 2021·Journal of Children's Orthopaedics·Nunzio CatenaUNKNOWN EPOS Upper Limb Study Group
Jun 15, 2021·Seminars in Plastic Surgery·Rami P DibbsJohn C Koshy

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Methods Mentioned

BETA
imaging techniques
dissection
imaging technique
amputation

Software Mentioned

SPSS Statistics

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