RSS-Feed abonnieren
DOI: 10.1055/a-0640-4906
Sonografie peripherer Nerven: Sonografische Anatomie
Sonography of Peripheral Nerves: Sonographic AnatomyPublikationsverlauf
Publikationsdatum:
03. September 2018 (online)

Zusammenfassung
Eine qualitativ hochwertige Ultraschalldiagnostik erfordert neben Kenntnissen der methodischen und technischen Grundlagen v. a. umfangreiche Kenntnisse der sonografischen Anatomie. Der folgende Artikel hat zum Ziel, die sonografische Anatomie der wichtigsten peripheren Nerven sowie deren Identifizierung mithilfe von anatomischen Landmarken wie Blutgefäßen, Muskelbäuchen und Knochenvorsprüngen zu illustrieren. Anhand von Abbildungen und Videos werden die komplexen Topografien der Nerven in der Regio cervicalis lateralis, der Regio axillaris und der Regio inguinalis sowie der Nerven der oberen und unteren Extremitäten dargestellt.
Summary
High quality ultrasonography of peripheral nerves requires in addition to skills on methodology and technical aspects of ultrasound diagnostics a comprehensive knowledge of sonographic anatomy. This article aims to illustrate sonographic anatomy of the most important peripheral nerves and how to identify them by means of anatomic landmarks such as vessels, muscle bellies or bony structures. By providing figures and video sequences, this article demonstrates the complex topography of the nerves of the cervical, axillar and inguinal regions and also of the nerves of the upper and lower extremities.
-
Literatur
- 1 Peer S, Gruber H. (eds.) Atlas of peripheral nerve ultrasound. Berlin, Heidelberg: Springer; 2013
- 2 Lieba-Samal D, Morgenbesser J, Moritz T. et al. Visualization of the Long Thoracic Nerve using High-Resolution Sonography. Ultraschall Med. 2015; 36: 264-269
- 3 Gruber L, Loizides A, Löscher W. et al. Focused high-resolution sonography of the suprascapular nerve: A simple surrogate marker for neuralgic amyotrophy?. Clin Neurophysiol. 2017; 128: 1438-1444
- 4 Grimm D, Axer F. The Ultrasound pattern sum score-UPSS. A new method to differentiate acute and subacute neuropathies using ultrasound of the peripheral nerves. Clinical Neurophysiology 2015; 126: 2216-2225
- 5 Boon AJ, Sekiguchi H, Harper CJ. et al. Sensitivity and specificity of diagnostic ultrasound in the diagnosis of phrenic neuropathy. Neurology. 2014; 83: 1264-1270
- 6 Loizides A, Peer S, Ostermann S. et al. Unusual functional compression of the deep branch of the radial nerve by a vascular branch (leash of Henry): ultrasonographic appearance. Rofo. 2011; 183: 163-166
- 7 Djurdjevic T, Loizides A, Loscher W. et al. High resolution ultrasound in posterior interosseous nerve syndrome. Muscle Nerve 2014; 49: 35-39
- 8 Damarey B, Demondion X, Boutry N. et al. Sonographic assessment of the lateral femoral cutaneous nerve. J Clin Ultrasound 2009; 37: 89-95