The role of ultrasonography and MRI in patients with non-traumatic nerve fascicle torsion of the upper extremity

被引:29
作者
Qi, H. T. [1 ]
Wang, X. M. [1 ]
Li, S. Y. [2 ]
Wang, G. B. [1 ]
Wang, D. H. [2 ]
Wang, Z. T. [2 ]
Zhang, X. D. [1 ]
Teng, J. B. [1 ]
机构
[1] Shandong Univ, Shandong Med Imaging Res Inst, Shandong Prov Key Lab Diag & Treatment Cardiocere, Jinan 250100, Shandong, Peoples R China
[2] Shandong Univ, Prov Hosp, Jinan 250100, Shandong, Peoples R China
关键词
ANTERIOR INTEROSSEOUS NERVE; MEDIAN NERVE; RADIAL NERVE; PALSY; CONSTRICTION;
D O I
10.1016/j.crad.2013.03.021
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
AIM: To evaluate the role of ultrasonography and magnetic resonance imaging (MRI) in the diagnosis of non-traumatic nerve fascicle torsion of the upper extremity. MATERIALS AND METHODS: Eleven patients (unilateral upper extremity) who underwent surgical treatment for nerve fascicle torsion were included in the study. Ultrasonography and MRI showed the detailed anatomy of the region well enough to reveal nerve fascicle torsion. The characterization and classification (single-segmental or multi-segmental) based on ultrasonography and diffusion-weighted (DW) MRI findings were recorded. RESULTS: The hourglass-shaped appearance was a characteristic feature of nerve fascicle torsion, Characterization and classification based on ultrasonography and MRI findings were consistent with intraoperative findings. CONCLUSION: Ultrasonography and MRI may be valuable in the diagnosis of non-traumatic nerve fascicle torsion of the upper extremity. (C) 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E479 / E483
页数:5
相关论文
共 14 条
[1]  
Abe T., 1966, RINSHO SEIKEI GEKA, V1, P617
[2]   LOCALIZED CONSTRICTIVE RADIAL NEUROPATHY IN THE ABSENCE OF EXTRINSIC COMPRESSION - 3 CASES [J].
BURNS, J ;
LISTER, GD .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1984, 9 (01) :99-103
[3]  
Chiou Hong-Jen, 2003, Radiographics, V23, pe15
[4]   MUSCULOAPONEUROTIC VARIATIONS ALONG THE COURSE OF THE MEDIAN NERVE IN THE PROXIMAL FOREARM [J].
DELLON, AL ;
MACKINNON, SE .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1987, 12B (03) :359-363
[5]   Radial nerve palsy caused by spontaneously occurring nerve torsion - Case report [J].
Fernandez, E ;
Di Rienzo, A ;
Marchese, E ;
Massimi, L ;
Lauretti, L ;
Pallini, R .
JOURNAL OF NEUROSURGERY, 2001, 94 (04) :627-629
[6]   Peripheral Nerve Palsy by Torsional Nerve Injury [J].
Guerra, Waltraud Kleist-Welch ;
Schroeder, Henry W. S. .
NEUROSURGERY, 2011, 68 (04) :1018-1024
[7]  
HOSI K, 1993, RINSHO USEIKEIGEKA, V28, P1171
[8]   Commentary: Hourglass-like fascicular nerve compressions [J].
Lundborg, G .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2003, 28A (02) :212-214
[9]   Spontaneous anterior interosseous nerve palsy with hourglass-like fascicular constriction within the main trunk of the median nerve [J].
Nagano, A ;
Shibata, K ;
Tokimura, H ;
Yamamoto, S ;
Tajiri, Y .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1996, 21A (02) :266-270
[10]   Additional muscle fibers of brachioradialis with anomalous high origin and entrapment of radial nerve in an osseomuscular canal [J].
Nair, V ;
Nair, R., V ;
Mookambika, R., V ;
Rao, Mohandas K. G. ;
Somayaji, Krishnaraja S. .
BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2012, 113 (10) :622-623