The utility of ultrasound in the assessment of traumatic peripheral nerve lesions: Report of 4 cases

Joshua Zeidenberg, S. Shelby Burks, Jean Jose, Ty Subhawong, Allan D Levi

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article numberE3
JournalNeurosurgical Focus
Volume39
Issue number3
StatePublished - 2015

Keywords

  • Peripheral nerves
  • Peroneal nerve
  • Spinal accessory nerve
  • Tibial nerve
  • Ulnar nerve
  • Ultrasound

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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