말초신경손상의 해부학적 국소화 측면에서신경근육초음파의 진단적 유용성: 손 부위외상척골신경손상 환자에서 신경근육초음파를 통한병변의 미세 국소화
Diagnostic Usefulness of Neuromuscular Ultrasound in Anatomical Localization of Peripheral Nerve Injury: Detailed Lesion Localization Using Neuromuscular Ultrasound in a Patient with Traumatic Ulnar Nerve Injury at the Hand
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In the evaluation of peripheral nerve injury, nerve conduction studies and needle electromyography mainly focus on anatomical localization and functional evaluation of lesions. Whereas neuromuscular ultrasound has an advantage in structural assessment of lesions. In addition, muscle ultrasound can also be used to demonstrate muscle denervation without causing pain. We report a case of traumatic ulnar nerve injury at hand in which muscle ultrasound contributed to precise localization by provided detailed information about the extent of muscle denervation.
Abstract
In the evaluation of peripheral nerve injury, nerve conduction studies and needle electromyography mainly focus on anatomical localization and functional evaluation of lesions. Whereas neuromuscular ultrasound has an advantage in structural assessment of lesions. In addition, muscle ultrasound can also be used to demonstrate muscle denervation without causing pain. We report a case of traumatic ulnar nerve injury at hand in which muscle ultrasound contributed to precise localization by provided detailed information about the extent of muscle denervation.
참고문헌 (5)
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- Oh SJ, "Clinical Electromyography: nerve conduction studies", pp.227~ (2003), Williams & Wilkins
- Wu JS, "Ulnar neuropathy at the wrist: case report and review of literature", Arch Phys Med Rehabil, 66, pp.785~788 (1985)
- Chiou HJ, "Peripheral nerve lesions: role of high-resolution US", Radiographics, 23, pp.e15~ (2003)[DOI]
- Gunreben G, "Real-time sonography of acute and chronic muscle denervation", Muscle Nerve, 14, pp.654~664 (1991)[DOI]