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The Peripheral Nervous System

  • Srinivasan Harish

The advent of high-resolution ultrasound scanners has made possible the clear depiction of normal peripheral nerves. Ultrasound offers many advantages over magnetic resonance imaging (MRI) with respect to imaging of the peripheral nerves. It is faster, less expensive, and offers significantly higher spatial resolution. It also offers the ability to perform a dynamic study to assess the relationships of a nerve to surrounding structures, such as muscles, tendons, and ligaments. Comparison with the contralateral asymptomatic side is also a significant advantage in using ultrasound for the demonstration of peripheral nerves.

Keywords

Sciatic Nerve Median Nerve Carpal Tunnel Ulnar Nerve Radial Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Peer S. General considerations and technical concepts. In: Peer S, Bodner G (eds.). High Resolution Sonography of the Peripheral Nervous System, 1st ed., pp. 1–12. New York: Springer, 2003.CrossRefGoogle Scholar
  2. 2.
    Gruber H, Kovacs P. Sonographic anatomy of the peripheral nervous system. In: Peer S, Bodner G (eds.). High Resolution Sonography of the Peripheral Nervous System, 1st ed., pp.13–36. New York: Springer, 2003.CrossRefGoogle Scholar
  3. 3.
    Chiou HJ, Chou YH, Chiou SY et al. Peripheral nerve lesions: Role of high-resolution US. Radiographics 2003;23(6):e15.PubMedCrossRefGoogle Scholar
  4. 4.
    Martinoli C, Bianchi S, Pugliese F et al. Sonography of entrapment neuropathies in the upper limb (wrist excluded). J Clin Ultrasound 2004;32:438–450.PubMedCrossRefGoogle Scholar
  5. 5.
    Schafhalter-Zoppoth I, Gray AT. The musculocutaneous nerve: Ultrasound appearance for peripheral nerve block. Reg Anesth Pain Med 2005;30:385–390.PubMedCrossRefGoogle Scholar
  6. 6.
    Lordan J, Rauh P, Spinner RJ. The clinical anatomy of the supracondylar spur and the ligament of Struthers. Clin Anat 2005;18:548–551.PubMedCrossRefGoogle Scholar
  7. 7.
    odner G, Buchberger W, Schocke M et al. Radial nerve palsy associated with humeral shaft fracture: Evaluation with US—-initial experience. Radiology 2001;219:811–816.Google Scholar
  8. 8.
    O’Driscoll SW, Horii E, Carmichael SW et al. The cubital tunnel and ulnar neuropathy. J Bone Joint Surg Br 1991;73:613–617.PubMedGoogle Scholar
  9. 9.
    Okamoto M, Abe M, Shirai H et al. Morphology and dynamics of the ulnar nerve in the cubital tunnel. Observation by ultrasonography. J Hand Surg [Br] 2000;25:85–89.CrossRefGoogle Scholar
  10. 10.
    Okamoto M, Abe M, Shirai H et al. Diagnostic ultrasonography of the ulnar nerve in cubital tunnel syndrome. J Hand Surg [Br] 2000;25:499–502.Google Scholar
  11. 11.
    Iannicelli E, Chianta GA, Salvini V et al. Evaluation of bifid median nerve with sonography and MR imaging. J Ultrasound Med 2000;19:481–485.PubMedGoogle Scholar
  12. 12.
    Propeck T, Quinn TJ, Jacobson JA et al. Sonography and MR imaging of bifid median nerve with anatomic and histologic correlation. AJR 2000;175:1721–1725.PubMedCrossRefGoogle Scholar
  13. 13.
    Keles I, Karagulle Kendi AT et al. Diagnostic precision of ultrasonography in patients with carpal tunnel syndrome. Am J Phys Med Rehabil 2005;84:443–450.PubMedCrossRefGoogle Scholar
  14. 14.
    Altinok T, Baysal O, Karakas HM et al. Ultrasonographic assessment of mild and moderate idiopathic carpal tunnel syndrome. Clin Radiol 2004;59:916–925.PubMedCrossRefGoogle Scholar
  15. 15.
    Peeters EY, Nieboer KH, Osteaux MM. Sonography of the normal ulnar nerve at Guyon’s canal and of the common peroneal nerve dorsal to the fibular head. J Clin Ultrasound 2004;32:375–380.PubMedCrossRefGoogle Scholar
  16. 16.
    Schwemmer U, Markus CK, Greim CA et al. Sonographic imaging of the sciatic nerve division in the popliteal fossa. Ultraschall Med 2005;26:496–500.PubMedCrossRefGoogle Scholar
  17. 17.
    Schwemmer U, Markus CK, Greim CA et al. Sonographic imaging of the sciatic nerve and its division in the popliteal fossa in children. Paediatr Anaesth 2004;14:1005–1008.PubMedCrossRefGoogle Scholar
  18. 18.
    Gruber H, Peer S, Kovacs P et al. The ultrasonographic appearance of the femoral nerve and cases of iatrogenic impairment. J Ultrasound Med 2003;22:163–172.PubMedGoogle Scholar
  19. 19.
    Mischkowski RA, Selbach I, Neugebauer J et al. Lateral femoral cutaneous nerve and iliac crest bone grafts—-anatomical and clinical considerations. Int J Oral Maxillofac Surg 2006;35:366–372.PubMedCrossRefGoogle Scholar
  20. 20.
    Kovacs P, Gruber H, Piegger J et al. New, simple, ultrasound-guided infiltration of the pudendal nerve: Ultrasonographic technique. Dis Colon Rectum 2001;44:1381–1385.PubMedCrossRefGoogle Scholar
  21. 21.
    Havel PE, Ebraheim NA, Clark SE et al. Tibial nerve branching in the tarsal tunnel. Foot Ankle 1998;9:117–119.CrossRefGoogle Scholar
  22. 22.
    Lau JT, Daniels TR. Tarsal tunnel syndrome: A review of the literature. Foot Ankle Int 1999;20:201–209.PubMedCrossRefGoogle Scholar
  23. 23.
    Zanetti M, Strehle JK, Zollinger H et al. Morton neuroma and fluid in the intermetatarsal bursae on MR images of 70 asymptomatic volunteers. Radiology 1997;203:516–520.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Srinivasan Harish
    • 1
  1. 1.Department of Diagnostic Imaging, St. Joseph’s HealthcareMcMaster UniversityHamiltonCanada

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