Fenech Michelle, Grant Andrew, Edwards Heath
School of Health, Medical and Applied Sciences, College of Clinical Sciences, Central Queensland University, Brisbane, QLD, Australia.
Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Ultrasound. 2025 Jun 19:1742271X251337395. doi: 10.1177/1742271X251337395.
Entrapment of the radial nerve proper can cause sensory and motor symptoms which can be challenging to clinically interpret and identify.
A review of literature relating to radial nerve proper entrapment and the sonographic technique to image and assess the radial nerve proper was performed, and results were analysed and synthesised.
There are five main sites of potential radial nerve proper entrapment which sonographers can readily assess to exclude or identify the cause, site and degree of any neural involvement.
Ultrasound of the radial nerve proper when used appropriately provides a fast, cost-effective method to image and assess the radial nerve proper and its surrounding structures and identify entrapment.
Real-time correlation of sonographic findings regarding the radial nerve proper and sensory symptoms with the sonographic Tinel test can help guide patient management and interventions such as local anaesthesia for pain relief or hydrodissection to free entrapped nerves from surrounding tissues.
桡神经主干卡压可导致感觉和运动症状,在临床解释和识别方面具有挑战性。
对与桡神经主干卡压以及用于成像和评估桡神经主干的超声技术相关的文献进行综述,并对结果进行分析和综合。
桡神经主干存在五个主要的潜在卡压部位,超声检查人员可以很容易地对其进行评估,以排除或确定任何神经受累的原因、部位和程度。
适当地使用桡神经主干超声检查可提供一种快速、经济有效的方法来成像和评估桡神经主干及其周围结构,并识别卡压情况。
桡神经主干的超声检查结果与感觉症状的实时关联以及超声Tinel试验有助于指导患者管理和干预措施,如用于缓解疼痛的局部麻醉或水分离术,以使受压神经从周围组织中松解出来。