Hsu Po-Cheng, Chang Ke-Vin, Mezian Kamal, Naňka Ondřej, Wu Wei-Ting, Yang Yi-Chiang, Meng Stefan, Ricci Vincenzo, Özçakar Levent
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei 10048, Taiwan.
Diagnostics (Basel). 2020 May 20;10(5):324. doi: 10.3390/diagnostics10050324.
The brachial plexus (BP) is a complicated neural network, which may be affected by trauma, irradiation, neoplasm, infection, and autoimmune inflammatory diseases. Magnetic Resonance Imaging is the preferred diagnostic modality; however, it has the limitations of high cost and lack of portability. High-resolution ultrasound has recently emerged as an unparalleled diagnostic tool for diagnosing postganglionic lesions of the BP. Existing literature describes the technical skills needed for prompt ultrasound imaging and guided injections for the BP. However, it remains particularly challenging for beginners to navigate easily while scanning its different parts. To address this, we share several "clinical pearls" for the sonographic examination of the BP as well as its common pathologies.
臂丛神经（BP）是一个复杂的神经网络，可能受到创伤、辐射、肿瘤、感染和自身免疫性炎症性疾病的影响。磁共振成像（MRI）是首选的诊断方式；然而，它存在成本高和缺乏便携性的局限性。高分辨率超声最近已成为诊断臂丛神经节后病变的无与伦比的诊断工具。现有文献描述了臂丛神经快速超声成像和引导注射所需的技术技能。然而，对于初学者来说，在扫描其不同部位时轻松操作仍然特别具有挑战性。为了解决这个问题，我们分享了一些用于臂丛神经超声检查及其常见病理情况的“临床要点”。
