Dataset Information

Elbow nerves: normal sonographic anatomy and identification of the structures potentially associated with nerve compression. A short pictorial-video article.

ABSTRACT:

Purpose

To demonstrate usefulness of ultrasonography evaluation of the nerves of the elbow and of the structures that more frequently might cause its compression.

Materials and methods

Anatomic course of nerves, muscles, tendons, fibrous structures and bursae potentially associated with nerve compression syndromes were evaluated. Informed consent was obtained from each volunteer.

Results

Ulnar, median and radial nerves are always evaluable with ultrasonography as well as muscles and tendons potentially associated with nerve compression. The bursae cannot be sonographically explored unless distended by fluid.

Conclusion

Ultrasonography is a reliable method for the evaluation of the nerves of the elbow and of the structures that might cause its compression.

SUBMITTER: Gregoli B

PROVIDER: S-EPMC3771565 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Publications

Elbow nerves: normal sonographic anatomy and identification of the structures potentially associated with nerve compression. A short pictorial-video article.

Gregoli Bettina B Bortolotto Chandra C Draghi Ferdinando F

Journal of ultrasound 20130731 3

<h4>Purpose</h4>To demonstrate usefulness of ultrasonography evaluation of the nerves of the elbow and of the structures that more frequently might cause its compression.<h4>Materials and methods</h4>Anatomic course of nerves, muscles, tendons, fibrous structures and bursae potentially associated with nerve compression syndromes were evaluated. Informed consent was obtained from each volunteer.<h4>Results</h4>Ulnar, median and radial nerves are always evaluable with ultrasonography as well as mu ...[more]

PMID: 24432161

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Project description:BackgroundDynamic compressive neuropathies around the elbow are a rare entity described by a relatively small body of literature, mostly consisting of single-case reports. No standardized diagnostic protocols have been described to date. To the authors' knowledge, this study represents the largest case series of dynamic compressive neuropathies in the upper extremity.PurposeTo identify various etiologies of dynamic compressive neuropathies around the elbow, devise a systematic diagnostic protocol, and review treatment options.Study designCase series; Level of evidence, 4.MethodsA retrospective review was conducted of patients who presented to a single practice between 2013 and 2017 and were diagnosed with a dynamic compressive neuropathy around the elbow.ResultsA total of 7 patients were identified, with a mean follow-up of 2 years. All patients were high-level pitchers. One patient was a minor league pitcher; 4 patients were National Collegiate Athletic Association athletes; and 2 patients were high school athletes. All patients underwent a systematic diagnostic workup. The diagnosis was established with dynamic nerve conduction testing. Three etiologies for dynamic nerve compression around the elbow were identified: 1 case of lateral antebrachial cutaneous nerve compression by the biceps tendon, 3 cases of ulnar nerve compression by an anconeus epitrochlearis muscle, and 3 cases of posterior interosseous nerve compression at the arcade of Frohse with hypertrophic extensor carpi radialis brevis and extensor digitorum communis muscles. Two patients were treated conservatively, while 5 patients required surgery. All patients were able to return to pitching.ConclusionDynamic compressive neuropathies around the elbow are rare entities that present unique diagnostic challenges to the treating clinician. In this cohort, all patients were young throwing athletes. Physical examination of the patient frequently lacks typical findings of chronic nerve entrapment syndromes. Dynamic nerve conduction studies establish the diagnosis, and treatment often requires surgical decompression to achieve complete resolution of symptoms.

Dataset Information

Elbow nerves: normal sonographic anatomy and identification of the structures potentially associated with nerve compression. A short pictorial-video article.

Purpose

Materials and methods

Results

Conclusion

Publications

Elbow nerves: normal sonographic anatomy and identification of the structures potentially associated with nerve compression. A short pictorial-video article.

Similar Datasets

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