ULTRASOUND DIAGNOSIS OF BONY NERVE ENTRAPMENT: CASE SERIES AND LITERATURE REVIEW

被引:14
作者
Erra, Carmen [1 ]
Granata, Giuseppe [2 ]
Liotta, Giovanna [3 ,4 ]
Podnar, Simon [5 ]
Giannini, Mauro [6 ]
Kushlaf, Hani [7 ]
Hobson-Webb, Lisa D. [7 ]
Leversedge, Fraser J. [8 ]
Martinoli, Carlo [9 ]
Padua, Luca [1 ,2 ]
机构
[1] Don Carlo Gnocchi Fdn, Milan, Italy
[2] Univ Cattolica Sacro Cuore, Inst Neurol, Dept Neurosci, I-00168 Rome, Italy
[3] Osped Infermi, Turin, Italy
[4] Univ Messina, Dept Neurosci, Messina, Italy
[5] Univ Med Ctr, Inst Clin Neurophysiol, Div Neurol, Ljubljana, Slovenia
[6] Policlin Casilino, Rome, Italy
[7] Duke Univ, Med Ctr, Dept Neurol, Durham, NC USA
[8] Duke Univ, Med Ctr, Dept Orthopaed Surg, Durham, NC USA
[9] Univ Genoa, DISC, Dept Radiol, Genoa, Italy
关键词
bony nerve entrapment; bony tunnel; delayed nerve palsy; nerve ultrasound; osseous callus; RADIAL NERVE; SUPRACONDYLAR FRACTURE; OSSEOUS TUNNEL; CALLUS; HUMERUS; PALSY;
D O I
10.1002/mus.23845
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Nerve entrapment due to osseous callus formation is a rare complication after bone fracture. Electrodiagnostic studies and routine radiographic imaging often fail to demonstrate the pathology. The diagnosis is difficult and is often made incidentally upon surgical exploration. Nerve ultrasonography has not been used routinely to assess such lesions. Methods: We report 5 cases of nerve entrapment in osseous callus after fractures that occurred in 2011 and 2012. The diagnosis was made by ultrasound (US). We then performed a review of the relevant literature. Conclusions: US is becoming an invaluable tool for diagnosing peripheral nerve entrapments. The current cases suggest that nerve US should be strongly considered as an adjunctive diagnostic tool for nerve palsies developing after trauma. Muscle Nerve48: 445-450, 2013
引用
收藏
页码:445 / 450
页数:6
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