Strakowski Jeffrey A
Department of Physical Medicine and Rehabilitation, The Ohio State University, 480 Medical Center Drive, Columbus, OH 43210, USA; Department of Physical Medicine and Rehabilitation, Riverside Methodist Hospital, 3555 Olentangy River Road, Columbus, OH 43214, USA; The McConnell Spine, Sport, and Joint Center, 3773 Olentangy River Road, Columbus, OH 43214, USA.
Phys Med Rehabil Clin N Am. 2016 Aug;27(3):687-715. doi: 10.1016/j.pmr.2016.04.006. Epub 2016 Jun 6.
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.
超声引导可在周围神经手术中实现对穿刺针的实时可视化，提高准确性和安全性。超声对周围神经及其周围解剖结构的可视化可为诊断目的和手术改进提供有价值的信息。文中讨论的常见手术包括肩胛上切迹处的肩胛上神经、旋后肌处的桡神经深支、旋前圆肌和腕管处的正中神经、股外侧皮神经、小腿处的腓浅神经、踝关节处的胫神经以及趾间神经瘤。对于每个手术，均详细介绍了适应证、相关解剖结构、术前扫描技术以及注射操作本身。
