The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: report of 4 cases.
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.
Department of Radiology, University of Miami/Jackson Memorial Hospital; and.
Joshua
J
Zeidenberg
Department of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida.
S Shelby
SS
Burks
Department of Radiology, University of Miami/Jackson Memorial Hospital; and.
Jean
J
Jose
Department of Radiology, University of Miami/Jackson Memorial Hospital; and.
Ty K
TK
Subhawong
Department of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida.
Allan D
AD
Levi
D000293:Adolescent; D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D059348:Peripheral Nerve Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D010525:Peripheral Nerves / Q000000981:diagnostic imaging* / Q000473:pathology; D014465:Ultrasonics; D014463:Ultrasonography; D055815:Young Adult
EMG = electromyography; HRU = high-resolution ultrasonography; peripheral nerves; peroneal nerve; spinal accessory nerve; tibial nerve; ulnar nerve; ultrasound