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Ultrasound diagnosis of bony nerve entrapment: Case series and literature review |
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| Authors: | Carmen Erra MD Giuseppe Granata MD Giovanna Liotta MD Simon Podnar MD DSc Mauro Giannini MD Hani Kushlaf MB BCh Lisa D Hobson‐Webb MD Fraser J Leversedge MD Carlo Martinoli MD PhD Luca Padua MD PhD |
| Institution: | 1. Don Carlo Gnocchi Foundation, , Milan, Italy;2. Department of Neurosciences, Institute of Neurology, Catholic University of Sacred Heart, , Rome, Italy;3. Ospedale degli Infermi, , Turin, Italy;4. Department of Neuroscience, University of Messina, , Messina, Italy;5. Institute of Clinical Neurophysiology, Division of Neurology, University Medical Centre, , Ljubljana, Slovenia;6. Policlinico Casilino, , Rome, Italy;7. Department of Neurology, Duke University Medical Center, , Durham, North Carolina, USA;8. Department of Orthopaedic Surgery, Duke University Medical Center, , Durham, North Carolina, USA;9. Radiology Department, DISC, Università di Genova, , Genova, Italy |
| Abstract: | Introduction: Nerve entrapment due to osseous callus formation is a rare complication after bone fracture. Electrodiagnostic studies and routine radiographic imaging often fail to demonstrate the pathology. The diagnosis is difficult and is often made incidentally upon surgical exploration. Nerve ultrasonography has not been used routinely to assess such lesions. Methods: We report 5 cases of nerve entrapment in osseous callus after fractures that occurred in 2011 and 2012. The diagnosis was made by ultrasound (US). We then performed a review of the relevant literature. Conclusions: US is becoming an invaluable tool for diagnosing peripheral nerve entrapments. The current cases suggest that nerve US should be strongly considered as an adjunctive diagnostic tool for nerve palsies developing after trauma. Muscle Nerve 48 : 445–450, 2013 |
| Keywords: | bony nerve entrapment bony tunnel delayed nerve palsy nerve ultrasound osseous callus |