Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury
Peripheral nerve injury is a potentially debilitating disorder that occurs in an estimated 2–3% of all patients with major trauma, in a similar percentage of medical procedures. The workup of these injuries has traditionally been clinical, combined with electrodiagnostic testing. However, this has l...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/1/30 |
| _version_ | 1827699199516344320 |
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| author | Juerd Wijntjes Alexandra Borchert Nens van Alfen |
| author_facet | Juerd Wijntjes Alexandra Borchert Nens van Alfen |
| author_sort | Juerd Wijntjes |
| collection | DOAJ |
| description | Peripheral nerve injury is a potentially debilitating disorder that occurs in an estimated 2–3% of all patients with major trauma, in a similar percentage of medical procedures. The workup of these injuries has traditionally been clinical, combined with electrodiagnostic testing. However, this has limitations, especially in the acute phase of the trauma or lack of any recovery, when it is very important to determine nerve continuity and perform surgical exploration and repair in the case of the complete transection or intraneural fibrosis. Ultrasound can help in those situations. It is a versatile imaging technique with a high sensitivity of 93% for detecting focal nerve lesions. Ultrasound can assess the structural integrity of the nerve, neuroma formation and other surrounding abnormalities of bone or foreign bodies impeding the nerve. In addition, this can help to prevent iatrogenic nerve injury by marking the nerve before the procedure. This narrative review gives an overview of why and how nerve ultrasound can play a role in the detection, management and prevention of peripheral nerve injury. |
| first_indexed | 2024-03-10T13:45:31Z |
| format | Article |
| id | doaj.art-6ac45744cbbf42d388dccb784424fe46 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T13:45:31Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-6ac45744cbbf42d388dccb784424fe462023-11-21T02:41:02ZengMDPI AGDiagnostics2075-44182020-12-011113010.3390/diagnostics11010030Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve InjuryJuerd Wijntjes0Alexandra Borchert1Nens van Alfen2Department of Neurology and Clinical Neurophysiology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsNervenultraschall Euregio, Pauwelsklinik, 52064 Aachen, GermanyDepartment of Neurology and Clinical Neurophysiology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, 6500 HB Nijmegen, The NetherlandsPeripheral nerve injury is a potentially debilitating disorder that occurs in an estimated 2–3% of all patients with major trauma, in a similar percentage of medical procedures. The workup of these injuries has traditionally been clinical, combined with electrodiagnostic testing. However, this has limitations, especially in the acute phase of the trauma or lack of any recovery, when it is very important to determine nerve continuity and perform surgical exploration and repair in the case of the complete transection or intraneural fibrosis. Ultrasound can help in those situations. It is a versatile imaging technique with a high sensitivity of 93% for detecting focal nerve lesions. Ultrasound can assess the structural integrity of the nerve, neuroma formation and other surrounding abnormalities of bone or foreign bodies impeding the nerve. In addition, this can help to prevent iatrogenic nerve injury by marking the nerve before the procedure. This narrative review gives an overview of why and how nerve ultrasound can play a role in the detection, management and prevention of peripheral nerve injury.https://www.mdpi.com/2075-4418/11/1/30peripheral nervefasciclenerve injurynerve traumanerve ultrasoundultrasonography |
| spellingShingle | Juerd Wijntjes Alexandra Borchert Nens van Alfen Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury Diagnostics peripheral nerve fascicle nerve injury nerve trauma nerve ultrasound ultrasonography |
| title | Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury |
| title_full | Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury |
| title_fullStr | Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury |
| title_full_unstemmed | Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury |
| title_short | Nerve Ultrasound in Traumatic and Iatrogenic Peripheral Nerve Injury |
| title_sort | nerve ultrasound in traumatic and iatrogenic peripheral nerve injury |
| topic | peripheral nerve fascicle nerve injury nerve trauma nerve ultrasound ultrasonography |
| url | https://www.mdpi.com/2075-4418/11/1/30 |
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