A RELIABLE TECHNIQUE FOR ULTRASOUND-GUIDED PERINEURAL INJECTION IN ULNAR NEUROPATHY AT THE ELBOW

被引：5

作者：

Hamscha, Ulrike M. ^{[1
,2
]}

Tinhofer, Ines ^{[1
,2
,3
]}

Heber, Stefan ^{[4
]}

Grisold, Wolfgang ^{[5
]}

Weninger, Wolfgang J. ^{[1
,2
]}

Meng, Stefan ^{[1
,2
,6
]}

机构：

[1] Med Univ, Ctr Anat & Cell Biol, Vienna, Austria

[2] Med Univ, Med Imaging Cluster, Vienna, Austria

[3] Med Univ, Dept Plast & Reconstruct Surg, Vienna, Austria

[4] Med Univ, Ctr Physiol & Pharmacol, Vienna, Austria

[5] KFJ Hosp, Dept Neurol, Vienna, Austria

[6] KFJ Hosp, Dept Radiol, Vienna, Austria

来源：

MUSCLE & NERVE | 2017年 / 56卷 / 02期

关键词：

perineural injection; ulnar groove; ulnar nerve; ulnar neuropathy at the elbow; ultrasound; CUBITAL TUNNEL-SYNDROME; ENTRAPMENT NEUROPATHY; SWELLING RATIO; NERVE; MANAGEMENT; DIAGNOSIS; INJURIES;

D O I：

10.1002/mus.25490

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: Ulnar neuropathy at the elbow (UNE) is a common peripheral compression neuropathy and, in most cases, occurs at 2 sites, the retroepicondylar groove or the cubital tunnel. With regard to a potential therapeutic approach with perineural corticosteroid injection, the aim of this study was to evaluate the distribution of injection fluid applied at a standard site. Methods: We performed ultrasound-guided (US-guided) perineural injections to the ulnar nerve halfway between the olecranon and the medial epicondyle in 21 upper limbs from 11 non-embalmed cadavers. In anatomic dissection we investigated the spread of injected ink. Results: Ink was successfully injected into the perineural sheath of the ulnar nerve in all 21 cases (cubital tunnel: 21 of 21; retroepicondylar groove: 19 of 21). Conclusion: US-guided injection between the olecranon and the medial epicondyle is a feasible and safe method to reach the most common sites of ulnar nerve entrapment.

引用

页码：237 / 241

页数：5

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