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Sonographic evaluation of uncommonly assessed upper extremity peripheral nerves: anatomy, technique, and clinical syndromes
- Source :
- Skeletal Radiology. 48:57-74
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Targeted ultrasound of the median, ulnar, and radial nerves is a well-established technique for suspected upper extremity peripheral neuropathy. However, sonographic imaging of the brachial plexus and smaller peripheral nerve branches is more technically difficult and the anatomy is less familiar to many radiologists. As imaging techniques improve, many clinicians refer patients for imaging of previously less-familiar structures. In addition, some patients may present with injuries that could involve local neurovascular structures. Finally, patients presenting with isolated peripheral neuropathies may be referred for perineural injections with local anesthetic for diagnostic purposes, or steroid for therapeutic reasons. This requires sonologists to have a firm understanding of the courses of these nerves and the surrounding anatomic landmarks that can be used to accurately identify and characterize them. We discuss clinical syndromes referable to specific peripheral nerve branches in the upper extremity, the relevant anatomy, and sonographic technique.
- Subjects :
- medicine.medical_specialty
medicine.drug_class
Injections
030218 nuclear medicine & medical imaging
Upper Extremity
03 medical and health sciences
0302 clinical medicine
Peripheral nerve
Humans
Medicine
Radiology, Nuclear Medicine and imaging
Peripheral Nerves
Anesthetics, Local
Ultrasonography, Interventional
Ultrasonography
030203 arthritis & rheumatology
business.industry
Local anesthetic
Ultrasound
Peripheral Nervous System Diseases
Syndrome
Anatomy
Neurovascular bundle
medicine.disease
Peripheral
Peripheral neuropathy
Orthopedic surgery
business
Brachial plexus
Subjects
Details
- ISSN :
- 14322161 and 03642348
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Skeletal Radiology
- Accession number :
- edsair.doi.dedup.....089a912d9c15f6a84f4fcc866d1a06db