Video Demonstration of Ultrasound-Guided Hydrodissection for Superficial Peroneal Nerve Entrapment

Chiang, Ching-Fang; Cheng, Sheng-Hao; Wu, Chueh-Hung; Özçakar, Levent

doi:10.1093/pm/pnaa049

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Stronger stimulation intensities may be needed to stimulate the targeted nerves using landmark‐based methods localization, leading to possible intolerance of NCS exam, as occurred in one subject in our study. In addition, US can provide additional diagnostic information including morphological changes caused by nerve injuries and can guide treatment such as hydrodissection 4‐8 . In the current study, we observed that the stimulation level applied for the UN and the RN motor studies was significantly less when using the US‐guided method due to the improved precision in placing the stimulator and the recording electrodes.…”

Section: Discussionmentioning

confidence: 60%

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Ultrasound guidance may have advantages over landmark‐based guidance for some nerve conduction studies

Wei

Chiu

et al. 2021

Muscle and Nerve

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Background Precise placement of stimulating and recording electrodes is vital when performing nerve conduction studies (NCSs). In this study, we aimed to determine whether ultrasonography (US) was more precise in localizing the superficial radial nerve (SRN), dorsal ulnar cutaneous nerve (DUCN), ulnar nerve (UN) crossing the cubital tunnel, and radial nerve (RN) crossing the spiral groove (SG) compared to conventional techniques. Methods Thirty healthy young subjects (15 male) were recruited. Each subject underwent both landmark‐based and US‐guided NCS. Onset latencies and amplitudes of compound motor action potentials (CMAPs) and sensory nerve action potentials (SNAPs), and stimulation levels (ie, intensity × duration) required to obtain maximal CMAP amplitudes were compared between the two techniques. Results The mean CMAP amplitudes of the UN above the cubital tunnel (9.55 ± 1.96 vs 8.96 ± 1.94 mV, P = .030), UN below the cubital tunnel (10.11 ± 2.07 vs 9.37 ± 1.95 mV, P < .001), and RN below the SG (5.21 ± 1.56 vs 4.34 ± 1.03 mV, P < .001) were significantly greater using US‐guided NCSs compared to landmark‐based NCSs. The mean onset latency of the DUCN was significantly shorter using US‐guided NCSs (1.49 ± 0.15 vs 1.57 ± 0.14 ms, P = .020). The required stimulation level in the UN and RN was significantly lower using US‐guided NCSs. Conclusions When performing NCSs, US guidance provides a more precise localization of the stimulator and electrodes for the DUCN, UN, and RN, while providing comparable localization for the SRN, compared to landmark‐based techniques.

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Section: Discussionmentioning

confidence: 60%

“…High‐resolution ultrasonography (US) is regarded as an effective tool in assessing the peripheral nerves of the limbs 4‐9 . Several studies have demonstrated the utility of US‐guided NCSs in more accurately applying stimulation or placing recording electrodes, particularly with regard to the lower limb nerves 10‐12 .…”

Section: Introductionmentioning

confidence: 99%

Ultrasound guidance may have advantages over landmark‐based guidance for some nerve conduction studies

Wei

Chiu

et al. 2021

Muscle and Nerve

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“…Chiang et al [59] reported that a 58-year-old woman had right anterolateral shin pain for 4-5 months without local trauma. Ultrasound revealed entrapment of the superficial peroneal nerve between the peroneus brevis and extensor digitorum longus muscles.…”

Section: Superficial Peroneal Nerve Entrapmentmentioning

confidence: 99%

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

Lin

et al. 2021

IJMS

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Current non-surgical treatment for peripheral entrapment neuropathy is considered insignificant and unsustainable; thus, it is essential to find an alternative novel treatment. The technique of perineural injection therapy using 5% dextrose water has been progressively used to treat many peripheral entrapment neuropathies and has been proven to have outstanding effects in a few high-quality studies. Currently, the twentieth edition of Harrison’s Principles of Internal Medicine textbook recommends this novel injection therapy as an alternative local treatment for carpal tunnel syndrome (CTS). Hence, this novel approach has become the mainstream method for treating CTS, and other studies have revealed its clinical benefit for other peripheral entrapment neuropathies. In this narrative review, we aimed to provide an insight into this treatment method and summarize the current studies on cases of peripheral entrapment neuropathy treated by this method.

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“…On the other hand, high-resolution ultrasound (US) could provide morphological information while diagnosing peripheral neuropathies. [ 6 7 8 9 10 11 12 ] In previous years, the utility of US in assisting NCS or EMG has been discussed. Stimulation or recording electrodes could be more accurately placed along the traveling path of the nerves, and the required stimulation level could be decreased to lessen the discomfort of the recruited participants.…”

Section: Introductionmentioning

confidence: 99%

The Application of Ultrasound Guidance in Electrodiagnostic Studies – A Narrative Review

Wei,

Wu,

Wang

2023

Journal of Medical Ultrasound

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Electrodiagnostic studies, including nerve conduction study and electromyography, were conducted based on surface anatomy in a conventional manner. However, the anatomical variations and difficulty in the identification of target nerves or muscles render the accuracy of electrodiagnostic studies questionable. In recent years, high-resolution ultrasound (US) has been used to scan both the peripheral nerves and musculoskeletal system. Furthermore, an increasing number of clinicians have incorporated US into electrodiagnostic studies to achieve accurate sampling and prevent potential unwanted tissue injuries. In this review article, we present summarized information about the utility of US in assisting electrodiagnostic studies.

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Video Demonstration of Ultrasound-Guided Hydrodissection for Superficial Peroneal Nerve Entrapment

Cited by 4 publications

References 3 publications

Ultrasound guidance may have advantages over landmark‐based guidance for some nerve conduction studies

Ultrasound guidance may have advantages over landmark‐based guidance for some nerve conduction studies

Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review

The Application of Ultrasound Guidance in Electrodiagnostic Studies – A Narrative Review

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