Ultrasound of the peripheral nerves of the lower extremity

Authors

  • Carla Lorena Rodríguez Ramírez SRITE Radiología y Hospital Regional de Alta Especialidad del Bajío. León, Guanajuato
  • Iván Dimitri Gómez Guzmán Hospital de Kennedy, Bogotá

DOI:

https://doi.org/10.53903/01212095.143

Keywords:

Ultrasound, Nerve fibers, Lower extremity

Abstract

Recent advances in ultrasound technology and the development of high-resolution ultrasound transducers have enabled detailed depiction of superficial musculoskeletal structures, tendons and nerves, allowing the method to become more competitive, positioning it as the first choice over other imaging modalities in the assessment of tendon and nerve diseases. While in the past considered as complementary to magnetic resonance (MR) imaging, modern ultrasound has clearly become competitive. It is now the imaging modality of choice for evaluating tendon and neural pathology. The major advantages of ultrasound include dynamic evaluation of structures, low cost and wide availability. The main disadvantage is a high degree of operator dependency and the experience of the operator is essential for its acquisition and interpretation. This article reviews the technique and anatomical markers in the ultrasound appearance of the most common peripheral nerves of the lower limb.

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References

Tagliafico A, Bignotti B, Martinoli C. Update on ultrasound-guided interventional procedures on peripheral nerves semin musculoskelet. Radiol. 2016;20:453-60.

Martinoli C, Bianchi S, Dahmane M, Pugliese F. et al. Ultrasound of tendons and nerves. Eur Radiol. 2002;12:44-55.

Tagliafico AS. Peripheral nerve imaging: Not only cross-sectional área. World J Radiol.2016;8:726-28.

Martinoli C, Bianchi S, Derchi LE. Tendon and nerve sonography. Radiol Clin North Am.1999;37:691-711.

Tagliafico A, Martinoli C. Reliability of sonographic measurements of upper extremity nerves. J Ultrasound Med. 2013;32:457-62.

Vlassakov KV, Sala Bach X. Ultrasound of the peripheral nerves. Nerves Nerve Inj. 2015;1:227-50.

Tagliafico AS, Tagliafico G. Fascicular ratio: a new parameter to evaluate peripheral nerve pathology on magnetic resonance imaging: a feasibility study on a 3T MRI system. Medicine (Baltimore). 2014;93:e68.

Bedewi MA, Abodonya A, Kotb M, Kamal S, et al. Estimation of ultrasound reference values for the lower limb peripheral nerves in adults: A cross-sectional study. Medicine. 2018;97(12):e0179.

Suk JI, Walker FO, Cartwright MS. Ultrasound of peripheral nerves. Curr Neurol Neurosci Rep. 2013;13:328.

Tagliafico AS, González RP, Rossi F, Bignotti B, Martinoli C. Peripheral nerves: Not only cross-sectional area in the era of radiomics. Semin Musculoskelet Radiol. 2020;24:175-80.

Tagliafico A, Tagliafico G, Martinoli C. Nerve density: a new parameter to evaluate peripheral nerve pathology on ultrasound. Preliminary study. Ultrasound Med Biol 2010; 36:1588-93.

Tagliafico A, Bignotti B. New parameters for evaluating peripheral nerve disorders on sonography and magnetic resonance imaging. J Ultrasound Med. 2015:34:1523.

Tagliafico A, Bignotto B, Rossi F, Sconfienza L, et al. Ultrasound of the hip joint, Soft Tissues and nerves. Semin in Musculoskeletal Radiol. 2017;21:582-8.

Tagliafico, Martinoli C. Lateral femoral cutaneous nerve. J Ultrasound Med. 2011;30:1341-46.

Jacobson JA. Fundamentals of musculoskeletal ultrasound. En Wrist and hand ultrasound. Elsevier; 2018. pp. 174-77.

Yablon CM, Hammer MR, Morag Y, Brandon CJ, Fessell DP, Jacobson JA. US of the peripheral nerves of the lower extremity: A landmark approach. Radiographics. 2016;36:464-78.

Jacobson JA, Wilson TJ, Yang LJS. Sonography of common peripheral nerve disorders. Ultrasound Med. 2016;35:683-93.

Iagnocco A, Filippucci E, Meenagh G, Delle Sedie A, et al. Ultrasound imaging for the rheumatologist. I. Ultrasonography of the shoulder. Clin Exp Rheumatol. 2006;24:6-11.

Hospodar PP, Ashman ES, Traub JA. Anatomic study of the lateral femoral cutaneous nerve with respect to the ilioinguinal surgical dissection. J Orthop Trauma. 1999;13:17-19.

Tagliafico A, Pérez M, Martinoli C. High-resolution ultrasound of the pudendal nerve. Normal anatomy. Muscle Nerve. 2013;47:403-8.

Tagliafico A, Bignotti B, Cadoni A, Pérez MM, Martinoli C. Anatomical study of the iliohypogastric, ilioinguinal, and genitofemoral nerves using high-resolution ultrasound. Muscle Nerve. 2015;51:42-8.

Kowalska B, Sudoł-Szopińska I. Normal and sonographic anatomy of selected peripheral nerves. Part III: Peripheral nerves of the lower limb. J Ultrason. 2012;12:148-63.

Beltran LS, Bencardino J, Ghazikhanian V, Beltran J. Entrapment neuropathies III: lower limb. Semin Musculoskelet Radiol. 2010;14:501-11.

De Maeseneer M, Madami H, Lenchik L, Brígido MK, et al. Normal anatomy and compression areas of nerves of the foot and ankle: US and MR Imaging with anatomic correlation. Radiographics. 2015;35:1469-82.

Presley JC, Maida E, Pawlina W, Murthy N, et al. Sonographic visualization of the first branch of the lateral plantar nerve (baxter nerve): technique and validation using perineural injections in a cadaveric model. J Ultrasound Med. 2013;32:1643-52.

Alshami AM, Souvlis T, Coppieters MW. A review of plantar heel pain of neural origin: differential diagnosis and management. Man Ther. 2008;13:103-11.

Ucerler H, Ikiz ‘A. The variations of the sensory branches of the superficial peroneal nerve course and its clinical importance. Foot Ankle Int. 2005;26:942-6.

Nwawka OK, Lee S, Miller TT. Sonographicevaluation of superficial peroneal nerve abnormalities. AJR 2018;211:1-8.

Published

2022-03-30

How to Cite

(1)
Rodríguez Ramírez, C. L. .; Gómez Guzmán, I. D. Ultrasound of the Peripheral Nerves of the Lower Extremity. Rev. colomb. radiol. 2022, 33, 5697-5704.

Issue

Section

Revisión de Tema