Ultrasound-guided treatment of peripheral entrapment mononeuropathies |
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Authors: | John W. Norbury MD Levon N. Nazarian MD |
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Affiliation: | 1. Department of Physical Medicine and Rehabilitation, The Brody School of Medicine at East Carolina University, 600 Moye Boulevard, Greenville, North Carolina, 27834 USA;2. Department of Radiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA |
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Abstract: | The advent of high-resolution neuromuscular ultrasound (US) has provided a useful tool for conservative treatment of peripheral entrapment mononeuropathies. US-guided interventions require careful coordination of transducer and needle movement along with a detailed understanding of sonoanatomy. Preprocedural planning and positioning can be helpful in performing these interventions. Corticosteroid injections, aspiration of ganglia, hydrodissection, and minimally invasive procedures can be useful nonsurgical treatments for mononeuropathies refractory to conservative care. Technical aspects as well as the current understanding of the indications and efficacy of these procedures for common entrapment mononeuropathies are reviewed in this study. Muscle Nerve, 2019 |
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Keywords: | aspiration corticosteroid injection entrapment mononeuropathy perineural injection treatment ultrasound guidance |
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