Assessment of the utility of ultrasonography with high-frequency transducers in the diagnosis of postoperative neuropathies


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Journal of Ultrasonography

Polish Ultrasound Society (Polskie Towarzystwo Ultrasonograficzne)

Subject: Medicine


ISSN: 2084-8404
eISSN: 2451-070X





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VOLUME 15 , ISSUE 61 (June 2015) > List of articles

Assessment of the utility of ultrasonography with high-frequency transducers in the diagnosis of postoperative neuropathies

Berta Kowalska *

Keywords : peripheral neuropathies, postoperative changes, ultrasonography, entrapmentneuropathies, EMG, posttraumatic neuropathies

Citation Information : Journal of Ultrasonography. Volume 15, Issue 61, Pages 151-163, DOI:

License : (CC BY-SA 4.0)

Received Date : 15-September-2014 / Accepted: 12-November-2014 / Published Online: 13-September-2016



The primary aim of this paper was to assess the relevance of high-frequency ultrasound examination in qualifying patients for either surgical or conservative treatment of postoperative peripheral neuropathies. The study was conducted in a group of 71 patients who in 2009–2011 were referred to ultrasound examinations due to a clinical suspicion of peripheral neuropathies. For the purposes of this analysis, the suspected postoperative neuropathies were divided into three groups: after surgical treatment of the median nerve (1), after surgical treatment of the ulnar nerve (2) and other postoperative neuropathies (3). All patients underwent the interview, physical examination and ultrasound examination. The ultrasound examinations were performed with Esaote MyLab 50 and MyLab 60 systems. Based on the clinical and US examinations, the patients were qualified for either surgical (51 cases) or conservative treatment (20 cases). An EMG examination was also performed in certain patients (60 cases). Mean values of cross-sectional areas and diameters of the nerve trunks were calculated in individual pathology groups. The ultrasound features of the peripheral nerves analyzed in the study, such as echostructure, notch sign, hyperemia and continuity of the transverse ligament, were divided into subgroups. Moreover, the frequency of adhesions between the nerve trunks and adjacent tissues, occurrence of pain on compression with a transducer and instability of the ulnar nerve as well as angulation of the posterior interosseous nerve in a dynamic examination was calculated. The analyses of the collected material were performed by means of descriptive statistics. The results of clinical and surgical verifi cation were consistent
with ultrasound fi ndings in 100% of cases. The results indicate that high-frequency ultrasonography
is a valuable method in qualifying patients for various types of treatment of
peripheral postoperative neuropathies.

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1. Nerve repair and nerve grafts. In: MacKinnon SE, Dellon AL: Surgery of  the Peripheral Nerve. Thieme Medical Publishers, New York 1988: 89–129.

2. Aydin K, Cokluk C, Pişkin A, Kocabiçak E: Ultrasonographically checking the sectioning of the transverse carpal ligament during carpal tunnel surgery with limited uni skin      incisions. Turk Neurosurg 2007; 17: 219–223.

3. Bianchi S, Martinoli C: Ultrasonografi a układu mięśniowo-szkieletowego.Tom I. MediPage, Warszawa 2009: 97.

4. Kowalska B: Assessment of the utility of Ultrasonography with highfrequency transducers in the diagnosis of entrapment neuropathies. J Ultrason 2014; 14: 371–392.

5. Kowalska B: Assessment of the utility of ultrasonography with highfrequency transducers in the diagnosis of posttraumatic neuropathies. J Ultrason 2015; 15: 15–28.

6. Peer S, Bodner G, Meirer R, Willeit J, Piza-Katzer H: Examination of postoperative peripheral nerve lesions with high-resolution sonography. AJR Am J Roentgenol 2001;      177: 415–419.

7. Beekman R, Visser LH, Schoemaker MC: Examination of postoperative peripheral nerve lesions using high-resolution sonography. AJR Am J Roentgenol 2002; 178:              510–511.

8. Peer S, Harpf C, Willeit J, Piza-Katzer H, Bodner G: Sonographic evaluation of primary peripheral nerve repair. J Ultrasound Med 2003; 22:1317–1322.

9. Cognet JM, Fabre T, Durandeau A: [Persistent radial palsy after humeral diaphyseal fracture: cause, treatment, and results. 30 operated cases].Rev Chir Orthop                        Reparatrice Appar Mot 2002; 88: 655–662.