Ultrasonographic evaluation of the iatrogenic peripheral nerve injuries in upper extremity


KARABAY N., Toros T., Ademoglu Y., Ada S.

EUROPEAN JOURNAL OF RADIOLOGY, cilt.73, sa.2, ss.234-240, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 73 Sayı: 2
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1016/j.ejrad.2008.10.038
  • Dergi Adı: EUROPEAN JOURNAL OF RADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.234-240
  • Anahtar Kelimeler: UItrasonography, Iatrogenic peripheral nerve injury, Upper extremity, LESIONS
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

The aim of our study is to assess the efficiency of the ultrasonography (US) in the diagnosis of peripheral nerve injury. This study includes nine patients (six radial, one median and two posterior interosseous (PIO) nerves) with peripheral nerve injury diagnosed by clinical and electrophysiological methods in the last 3 years. Preoperatively, an ultrasonographic examination was performed and correlated with physical exam and surgical findings. Five patients, who were diagnosed as peripheral nerve transection by US, underwent surgery. The ultrasonographic findings were concordant with the intraoperative findings. Axonal swelling alone was found in the remaining three patients, who were treated conservatively because of preserved nerve continuity without display of nerve compression. In one patient, we were unable to visualize the nerve due to obesity and soft tissue edema. High-resolution US provide morphological information about the exact location, intensity and extent of the nerve injuries, facilitating the preoperative diagnosis. Thus, US may be a useful method for planning optimal treatment strategy in especially iatrogenic nerve injuries. (C) 2008 Elsevier Ireland Ltd. All rights reserved.