• Muscle & nerve · May 2014

    High-resolution ultrasound visualization of the subcutaneous nerves of the forearm: a feasibility study in anatomic specimens.

    • Thomas Moritz, Helmut Prosch, Christopher H Pivec, Alexander Sachs, Michael L Pretterklieber, Lukas Kriechbaumer, Wolfgang Happak, and Gerd Bodner.
    • Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, 1090, Austria.
    • Muscle Nerve. 2014 May 1;49(5):676-9.

    IntroductionThe aim of this ultrasound-anatomical study was to evaluate the ability of high-resolution ultrasound (HRUS) to visualize and infiltrate small subcutaneous nerves of the forearm in anatomic specimens.MethodsSeven nonembalmed human bodies (4 men, 3 women; mean age at death, 60 years) were included in the study. Two investigators scanned the anatomic specimens using 15-MHz and 18-MHz HRUS transducers. The lateral, medial, and posterior antebrachial cutaneous nerves were scanned and interventionally marked with ink using HRUS-guidance. Subsequently, dissections were performed to assess the anatomical correlation of HRUS findings.ResultsAll 3 nerves were identified consistently using HRUS. The precision of the ink-markings was excellent, with good correlation with the small peripheral branches of all 3 nerves.ConclusionsHRUS can identify precisely the small subcutaneous nerves of the forearm and may aid in both diagnosis and therapy in cases of neuropathy.Copyright © 2013 Wiley Periodicals, Inc.

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