Ultrasound-Guided Peripheral Nerve Procedures

• Published in: Physical medicine and rehabilitation clinics of North America Vol. 27; no. 3; p. 687
• Main Author: Strakowski, Jeffrey A
• Format: Journal Article
• Language: English
• Published: United States 01.08.2016
• Subjects: Adrenal Cortex Hormones - administration & dosage; Anesthetics, Local - administration & dosage; Forefoot, Human; Humans; Median Nerve - diagnostic imaging; Musculoskeletal Pain - drug therapy; Nerve Block - methods; Neuroma - diagnostic imaging; Neuroma - drug therapy; Peripheral Nerves - anatomy & histology; Peripheral Nerves - diagnostic imaging; Radial Nerve - diagnostic imaging; Shoulder Pain - drug therapy; Tibial Nerve - diagnostic imaging; Ultrasonography, Interventional - methods; Intervention; Sonography; Neurological; Perineural; Neuroma; Injection; Neuropathy; Ultrasound
• ISSN: 1558-1381
• DOI: 10.1016/j.pmr.2016.04.006

Ultrasound guidance allows real-time visualization of the needle in peripheral nerve procedures, improving accuracy and safety. Sonographic visualization of the peripheral nerve and surrounding anatomy can provide valuable information for diagnostic purposes and procedure enhancement. Common procedures discussed are the suprascapular nerve at the suprascapular notch, deep branch of the radial nerve at the supinator, median nerve at the pronator teres and carpal tunnel, lateral cutaneous nerve of the thigh, superficial fibular nerve at the leg, tibial nerve at the ankle, and interdigital neuroma. For each procedure, the indications, relevant anatomy, preprocedural scanning technique, and injection procedure itself are detailed.