Open AccessUltrasound examination of peripheral nerve injuries in patients with limb injuries in the early post-traumatic or postoperative periods
Author(s) -
И. И. Мажорова,
Е. А. Трофимова,
Л. Т. Хамидова,
Р. С. Титов,
Yu. A. Bogolyubsky,
P. G. Evgrafov
Publication year - 2021
Publication title -
lučevaâ diagnostika i terapiâ
Language(s) - English
Resource type - Journals
eISSN - 2079-5351
pISSN - 2079-5343
DOI - 10.22328/2079-5343-2020-11-4-87-95
Subject(s) - medicine , surgery , peripheral nerve , ultrasound , nerve injury , peripheral nerve injury , anesthesia , peripheral , nerve repair , radiology , anatomy
. 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.