Imaging of neuropathies about the hip

被引:36
作者
Martinoli, Carlo [1 ]
Miguel-Perez, Maribel [2 ]
Padua, Luca [3 ,4 ]
Gandolfo, Nicola [5 ]
Zicca, Anna [1 ]
Tagliafico, Alberto [6 ]
机构
[1] Univ Genoa, Radiol DISC, I-16132 Genoa, Italy
[2] Univ Barcelona, Fac Med C Bellvitge, Dept Pathol & Expt Therapy, Unit Human Anat & Embryol, Barcelona, Spain
[3] Univ Cattolica Sacro Cuore, Fdn Don Gnocchi Onlus, Policlin A Gemelli, Rome, Italy
[4] Univ Cattolica Sacro Cuore, Policlin A Gemelli, Dept Neurol, Rome, Italy
[5] IM2S Inst Monegasque Med & Chirurg Sport, Montecarlo, Monaco
[6] Radiol Natl Inst Canc Res, Genoa, Italy
关键词
Compression neuropathies; Entrapment neuropathies; Lower extremity; Lateral femoral cutaneous nerve; Femoral nerve; Sciatic nerve; Obturator nerve; Superior and inferior gluteal nerve; Pudendal nerve; SUPERIOR GLUTEAL NERVE; FEMORAL CUTANEOUS NERVE; DIRECT LATERAL APPROACH; PIRIFORMIS MUSCLE; OBTURATOR NERVE; ENTRAPMENT NEUROPATHIES; DIFFERENTIAL-DIAGNOSIS; RHEUMATOID-ARTHRITIS; SCIATIC-NERVE; ULTRASOUND;
D O I
10.1016/j.ejrad.2011.04.034
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
Neuropathies about the hip may be cause of chronic pain and disability. In most cases, these conditions derive from mechanical or dynamic compression of a segment of a nerve within a narrow osteofibrous tunnel, an opening in a fibrous structure, or a passageway close to a ligament or a muscle. Although the evaluation of nerve disorders primarily relies on neurological examination and electrophysiology, diagnostic imaging is currently used as a complement to help define the site and aetiology of nerve compression and exclude other disease possibly underlying the patient' symptoms. Diagnosis of entrapment neuropathies about the hip with US and MR imaging requires an in-depth knowledge of the normal imaging anatomy and awareness of the anatomic and pathologic factors that may predispose or cause a nerve injury. Accordingly, the aim of this article is to provide a comprehensive review of hip neuropathies with an emphasis on the relevant anatomy, aetiology, clinical presentation, and their imaging appearance. The lateral femoral cutaneous neuropathy (meiralgia paresthetica), femoral neuropathy, sciatic neuropathy, obturator neuropathy, superior and inferior gluteal neuropathies and pudendal neuropathy will be discussed. (C) 2011 Published by Elsevier Ireland Ltd.
引用
收藏
页码:17 / 26
页数:10
相关论文
共 44 条
[1]   Entrapment Neuropathies III: Lower Limb [J].
Beltran, Luis S. ;
Bencardino, Jenny ;
Ghazikhanian, Varand ;
Beltran, Javier .
SEMINARS IN MUSCULOSKELETAL RADIOLOGY, 2010, 14 (05) :501-511
[2]  
Bendszus M, 2003, AM J NEURORADIOL, V24, P1283
[3]   Ultrasound of the Lateral Femoral Cutaneous Nerve Normal Findings in a Cadaver and in Volunteers [J].
Bodner, Gerd ;
Bernathova, Maria ;
Galiano, Klaus ;
Putz, Diana ;
Martinoli, Carlo ;
Felfernig, Michael .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (03) :265-268
[4]   THE SURGICAL ANATOMY OF THE SUPERIOR GLUTEAL NERVE AND ANATOMICAL RADIOLOGIC BASES OF THE DIRECT LATERAL APPROACH TO THE HIP [J].
BOS, JC ;
STOECKART, R ;
KLOOSWIJK, AIJ ;
VANLINGE, B ;
BAHADOER, R .
SURGICAL AND RADIOLOGIC ANATOMY, 1994, 16 (03) :253-258
[5]   Obturator nerve entrapment - A cause of groin pain in athletes [J].
Bradshaw, C ;
McCrory, P ;
Bell, S ;
Brukner, P .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (03) :402-408
[6]  
Brown Gabriel D, 2008, Am J Orthop (Belle Mead NJ), V37, P191
[7]   Risks to the superior gluteal neurovascular bundle during percutaneous iliosacral screw insertion - An anatomical cadaver study [J].
Collinge, C ;
Coons, D ;
Aschenbrenner, J .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2005, 19 (02) :96-101
[8]   Sonographic Assessment of the Lateral Femoral Cutaneous Nerve [J].
Damarey, Benjamin ;
Demondion, Xavier ;
Boutry, Nathalie ;
Kim, Hee-Jin ;
Wavreille, Guillaume ;
Cotten, Anne .
JOURNAL OF CLINICAL ULTRASOUND, 2009, 37 (02) :89-95
[9]  
Diop M, 2002, SURG RADIOL ANAT, V24, P155, DOI 10.1007/s00276-002-0048-z
[10]   Meralgia paresthetica in differential diagnosis of low-back pain [J].
Erbay, H .
CLINICAL JOURNAL OF PAIN, 2002, 18 (02) :132-135