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Anatomical study of the iliohypogastric,ilioinguinal, and genitofemoral nerves using high‐resolution ultrasound
Authors:Alberto Tagliafico MD  Bianca Bignotti MD  Angela Cadoni MD  Maribel Miguel Perez MD  Carlo Martinoli MD
Affiliation:1. Institute of Anatomy, Department of Experimental Medicine, University of Genoa, Genoa, Italy;2. Radiology Department, University of Genoa, Genoa, Italy;3. Unit of Human Anatomy and Embryology, Department of Pathology and Experimental Therapy, Faculty of Medicine (C. Bellvitge), University of Barcelona, Barcelona, Spain
Abstract:Introduction: In this study we aimed to determine whether high‐resolution ultrasound (US) can identify the iliohypogastric (IH), ilioinguinal (II), and genitofemoral (GF) nerves and their relations. Methods: This investigation, initially undertaken in cadavers, was followed by a high‐resolution US study in 30 healthy adult volunteers (180 nerves) by 2 musculoskeletal radiologists on separate occasions, using 2 different approaches (proximal to distal and distal to proximal). A 0–3 scale was used to assess nerve visibility. Location and course of the IH, II, and GF nerves and their relations to adjacent anatomical structures were analyzed. Results: Nerves and their terminal branches were better visualized with the distal‐to‐proximal approach (P < 0.05). Visualization of the terminal branches was possible in up to 60% of volunteers. Conclusions: High‐resolution ultrasound (US) can identify the IH, II, and GF nerves at the level of the abdominal wall and the terminal branches in the majority of volunteers. Muscle Nerve 51 : 42–48, 2015
Keywords:anatomy    border”   nerves  genitofemoral nerve  iliohypogastric nerve  ilioinguinal nerve  ultrasound
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