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小神经的超声检查。

Ultrasound of Small Nerves.

机构信息

Center for Anatomy and Cell Biology, Medical University of Vienna, Austria.

Radiology, Hanusch-Hospital, Vienna, Austria.

出版信息

Ultraschall Med. 2022 Feb;43(1):12-33. doi: 10.1055/a-1495-5294. Epub 2022 Feb 8.

Abstract

Nerve ultrasound has become an integral part of the diagnostic workup of peripheral neuropathies. Especially in the examination of small nerves, ultrasound provides superior image quality by using high frequency transducers. For a selection of small nerves, this article summarizes the local anatomy and common pathologies and offers simple instructions for determining their location with ultrasound including some cases with pathologies. This selection of nerves comprises the great auricular nerve, the supraclavicular nerves, the suprascapular nerve, the medial antebrachial cutaneous nerve, the lateral antebrachial cutaneous nerve, the palmar cutaneous branch of the median nerve, the long thoracic nerve, the intercostobrachial nerve, the posterior cutaneous nerve, the infrapatellar branch of the saphenous nerve, the medial calcaneal nerve, and the deep peroneal nerve at the ankle. Following our recommendations, these nerves can be swiftly located and tracked along their course to the site of the pathology.

摘要

神经超声已成为周围神经病变诊断的重要组成部分。特别是在检查小神经时,超声通过高频换能器提供了卓越的图像质量。本文总结了一些小神经的局部解剖结构和常见病变,并提供了使用超声确定其位置的简单说明,包括一些病变病例。这些神经包括耳大神经、锁骨上神经、肩胛上神经、前臂内侧皮神经、前臂外侧皮神经、正中神经掌皮支、胸长神经、肋间臂神经、皮神经后支、隐神经髌下支、跟骨内侧神经和踝部腓深神经。按照我们的建议,这些神经可以迅速定位,并沿着它们的路径追踪到病变部位。

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