US for Traumatic Nerve Injury, Entrapment Neuropathy, and Imaging-guided Perineural Injection

Radiographics. 2022 Sep-Oct;42(5):1546-1561. doi: 10.1148/rg.210152. Epub 2022 Jul 1.

Abstract

US is commonly performed to help diagnose traumatic peripheral nerve injury and entrapment neuropathy, particularly with superficial nerves, where higher spatial resolution provides an advantage over MRI. Other advantages of US include dynamic evaluation, easy contralateral comparison, fewer implant contraindications, less artifact from ferromagnetic debris, and facile needle guidance for perineural injections. The authors review peripheral nerve US for traumatic peripheral nerve injury with an emphasis on injury grading and entrapment neuropathy and describe best-practice techniques for US-guided perineural injections while highlighting specific techniques and indications. Online supplemental material is available for this article. ©RSNA, 2022.

MeSH terms

  • Humans
  • Injections / methods
  • Magnetic Resonance Imaging
  • Nerve Compression Syndromes* / diagnostic imaging
  • Peripheral Nerve Injuries* / diagnostic imaging
  • Peripheral Nerves