Department of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA, 27157.
Departments of Physical Medicine and Rehabilitation, The Ohio State University and Riverside Methodist Hospital, Columbus, Ohio, USA.
Muscle Nerve. 2018 Nov;58(5):618-624. doi: 10.1002/mus.26144. Epub 2018 Jun 15.
Reliable assessment of brachial plexus disorders can be challenging due to the complexity of the anatomy and variation of potential pathology. Electrodiagnostic testing can be both uncomfortable for the patient and inconclusive. Ultrasound can serve as a complement to clinical assessment, electrodiagnostic testing, and other imaging modalities. This study describes a systematic approach for performing neuromuscular ultrasound for suspected pathology in the brachial plexus. The literature regarding techniques for brachial plexus ultrasound was reviewed. A team composed of specialists in neurology, physiatry, anesthesiology, orthopedic surgery, and vascular surgery used this as the basis for describing standardized techniques for performing brachial plexus ultrasound. Four standard views, along with other supplemental views, are described for the evaluation of the brachial plexus. An illustrative case is presented. Ultrasound is a high-resolution point of care diagnostic tool that allows assessment of structural pathology affecting the brachial plexus. Muscle Nerve 58: 618-624, 2018.
由于臂丛解剖结构的复杂性和潜在病理变化的多样性，可靠地评估臂丛神经疾病具有一定挑战性。电诊断测试既让患者感到不适，又无法得出明确结论。超声检查可以作为临床评估、电诊断测试和其他影像学检查的补充手段。本研究描述了一种针对疑似臂丛神经病变进行神经肌肉超声检查的系统方法。我们查阅了有关臂丛神经超声技术的文献。由神经科、物理医学科、麻醉科、骨科和血管外科专家组成的团队以此为基础，描述了进行臂丛神经超声检查的标准化技术。我们描述了用于评估臂丛神经的 4 个标准切面和其他补充切面。还提供了一个说明性病例。超声是一种高分辨率的即时诊断工具，可用于评估影响臂丛神经的结构病变。《肌肉神经》58:618-624,2018.
