Semin Musculoskelet Radiol 2016; 20(05): 453-460
DOI: 10.1055/s-0036-1594282
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Update on Ultrasound-Guided Interventional Procedures on Peripheral Nerves

Alberto Tagliafico
1   Institute of Anatomy, Department of Experimental Medicine (DIMES), University of Genoa, Genoa, Italy
,
Bianca Bignotti
2   Department of Health Sciences (DISSAL), University of Genova, Genoa, Italy
,
Carlo Martinoli
2   Department of Health Sciences (DISSAL), University of Genova, Genoa, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
21 December 2016 (online)

Abstract

This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. US-guided injections could be considered a diagnostic and therapeutic option in the most common neuropathy, before or as an alternative to surgery. US-guided injection techniques in patients with carpal tunnel syndrome, cubital tunnel syndrome, meralgia paresthetica, and Morton neuroma are reviewed. US-guided injections of the iliohypogastric, ilioinguinal, genitofemoral, and pudendal nerve are also illustrated. Knowledge of anatomy is crucial; therefore a brief description of the courses of anatomical nerves and clinical notes are also reported. Treatment of stump neuromas treatment was excluded.