Ultrasound examination of peripheral nerve injuries in patients with limb injuries in the early post-traumatic or postoperative periods
https://doi.org/10.22328/2079-5343-2020-11-4-87-95
Abstract
Introduction. In the early hours and days after traumatic or surgical event it is essential to determine type of peripheral nerve injury accurately.
Objective. To assess performance of diagnostic ultrasound (US) in patients with traumatic and intraoperative nerve injuries during the early hours and days after trauma or surgery.
Materials and methods. 106 patients with clinical signs of extremity nerve injuries were included into the study. A total of 113 limb nerves were investigated with US.
Results. US sensitivity in the detection of complete nerve rupture was 100% (95% CI: 39,8-100%), specificity — 99,0% (94,7100,0%); for nerve compression with the bone sensitivity was 100% (66,4-100%), specificity — 100% (96,3-100%); for nerve compression with fixation devices sensitivity was 100% (66,4-100%), specificity — 100% (15,8-100%) и 100% (88,4-100%).
Conclusion. Nerve US is a reliable method for the evaluation of extremity nerve injury, the method can be recommended for use in the early hours and days after trauma or surgery.
About the Authors
I. I. Mazhorova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Irina I. Mazhorova.
Moscow.
E. Yu. Trofimova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Elena Yu. Trofimova.
Moscow.
L. T. Khamidova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Layla T. Khamidova.
Moscow.
R. S. Titov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Roman S. Titov.
Moscow.
Yu. A. Bogolyubsky
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Yuri A. Bogolyubsky.
Moscow.
P. G. Evgrafov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Pavel G. Evgrafov.
Moscow.
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For citations:
Mazhorova I.I., Trofimova E.Yu., Khamidova L.T., Titov R.S., Bogolyubsky Yu.A., Evgrafov P.G. Ultrasound examination of peripheral nerve injuries in patients with limb injuries in the early post-traumatic or postoperative periods. Diagnostic radiology and radiotherapy. 2020;11(4):87-95. (In Russ.) https://doi.org/10.22328/2079-5343-2020-11-4-87-95
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