By Siegfried Peer, Gerd Bodner, A.L. Baert, G. Bodner, H. Gruber, S. Kiechl, P. Kovacs, S. Peer, H. Piza-Katzer
Because the first version of this publication, sonography of the peripheral anxious process has developed extra. This moment, revised version comprises many state of the art high-resolution photos, the textual content has been tailored to mirror the present kingdom of the literature, and data is gifted utilizing a extra glossy structure. This publication presents a pragmatic, clinically orientated evaluation of all elements of sonographic prognosis and interventional treatment of the peripheral apprehensive procedure.
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Extra info for High-Resolution Sonography of the Peripheral Nervous System (Medical Radiology Diagnostic Imaging)
Example text
Intercostal muscles (3) and latissimus dorsi muscle (4). b Corresponding scheme References Bodner G, Harpf C, Gardetto A, Kovacs P, Gruber H, Peer S, Mallhoui A (2002) Ultrasonography of the accessory nerve. Normal and pathological fi ndings in cadavers and patients with iatrogenic accessory nerve palsy. J Ultrasound Med 21:1159–1163 Duncan I, Sullivan P, Lomas F (1999) Sonography in the diagnosis of carpal tunnel syndrome. AJR Am J Roentgenol 173:681–684 Gassner E, Schocke M, Peer S et al. (2002) Persistent median artery in the carpal tunnel – color Doppler ultrasonographic fi ndings.
3 ms with needle and surface electrode recording or prolongation of the motor latency relative to the asymptomatic contralateral side or the latency to the hypothenar) (Liveson and Ma 1992; Stoehr and Bluthardt 1993; Kothari et al. 1996; Oh 2003). Inching techniques (short segment stimulation) may be helpful as well. In patients with occupational risks a conservative management with consequent curtailing of the offending activity is commonly sufficient to restore nerve function. Surgery is indicated in patients with progressive deficits, mass lesions in the Guyon’s canal and severe axonal damage without early signs of reinervation.
These sections (the lateral common fibular nerve and the medial tibial nerve) are interposed between the two heads of the femoral biceps muscle, whereby the common fibular nerve follows the tendon of the femoral biceps muscle medially and further down dorso-medially to the tendon attachment at the head of the fibula. After releasing the sensory sural nerve dorsally, the tibial nerve in its course through the tendinous adductorial hiatus gets accompanied medially by the popliteal vessels. In this section the tibial nerve as well as the common fibular gets almost subcutaneous only covered by the thin popliteal and crural fascia.