Follow-up Evaluation with Ultrasonography of Peripheral Nerve Injuries After an Earthquake

Overview

Journal Neural Regen Res

Date 2014 Sep 11

PMID 25206859

Citations 2

Authors

Man Lu

Yue Wang

Linxian Yue

Jack Chiu

Fanding He

Xiaojing Wu

Bin Zang

Bin Lu

Xiaoke Yao

Zirui Jiang

Affiliations

Soon will be listed here.

Abstract

Published data on earthquake-associated peripheral nerve injury is very limited. Ultrasonography has been proven to be efficient in the clinic to diagnose peripheral nerve injury. The aim of this study was to assess the role of ultrasound in the evaluation of persistent peripheral nerve injuries 1 year after the Wenchuan earthquake. Thirty-four patients with persistent clinical symptoms and neurologic signs of impaired nerve function were evaluated with sonography prior to surgical repair. Among 34 patients, ultrasonography showed that 48 peripheral nerves were entrapped, and 11 peripheral nerves were disrupted. There was one case of misdiagnosis on ultrasonography. The concordance rate of ultrasonographic findings with those of surgical findings was 98%. A total of 48 involved nerves underwent neurolysis and the symptoms resolved. Only five nerves had scar tissue entrapment. Preoperative and postoperative clinical and ultrasonographic results were concordant, which verified that ultrasonography is useful for preoperative diagnosis and postoperative evaluation of injured peripheral nerves.

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References

Ahrari M, Zangiabadi N, Asadi A, Sarafi Nejad A . Prevalence and distribution of peripheral nerve injuries in victims of Bam earthquake. Electromyogr Clin Neurophysiol. 2006; 46(1):59-62. View

Almeida V, Mariotti P, Veltri S, Erra C, Padua L . Nerve ultrasound follow-up in a child with Guillain-Barré syndrome. Muscle Nerve. 2012; 46(2):270-5. DOI: 10.1002/mus.23325. View

Wu P, Spinner R, Gu Y, Yaszemski M, Windebank A, Wang H . Delayed repair of the peripheral nerve: a novel model in the rat sciatic nerve. J Neurosci Methods. 2013; 214(1):37-44. DOI: 10.1016/j.jneumeth.2013.01.003. View

Hooper D, Lawson W, Smith L, Baker S . Sonographic features in hereditary neuropathy with liability to pressure palsies. Muscle Nerve. 2011; 44(6):862-7. DOI: 10.1002/mus.22199. View

Demertzis J, Rubin D . Upper extremity neuromuscular injuries in athletes. Semin Musculoskelet Radiol. 2012; 16(4):316-30. DOI: 10.1055/s-0032-1327005. View

Liu F, Zhu J, Wei M, Bao Y, Hu B . Preliminary evaluation of the sural nerve using 22-MHz ultrasound: a new approach for evaluation of diabetic cutaneous neuropathy. PLoS One. 2012; 7(4):e32730. PMC: 3338734. DOI: 10.1371/journal.pone.0032730. View

Yetisir F, Salman A, Ciftci B, Teber A, Kilic M . Efficacy of ultrasonography in identification of non-recurrent laryngeal nerve. Int J Surg. 2012; 10(9):506-9. DOI: 10.1016/j.ijsu.2012.07.006. View

He Q, Wang F, Li G, Chen X, Liao C, Zou Y . Crush syndrome and acute kidney injury in the Wenchuan Earthquake. J Trauma. 2011; 70(5):1213-7. DOI: 10.1097/TA.0b013e3182117b57. View

Tai T, Wu C, Su F, Chern T, Jou I . Ultrasonography for diagnosing carpal tunnel syndrome: a meta-analysis of diagnostic test accuracy. Ultrasound Med Biol. 2012; 38(7):1121-8. DOI: 10.1016/j.ultrasmedbio.2012.02.026. View

10.

Umans H, Kessler J, de La Lama M, Magge K, Liebling R, Negron J . Sonographic assessment of volar digital nerve injury in the context of penetrating trauma. AJR Am J Roentgenol. 2010; 194(5):1310-3. DOI: 10.2214/AJR.09.3884. View

11.

Zhu J, Liu F, Li D, Shao J, Hu B . Preliminary study of the types of traumatic peripheral nerve injuries by ultrasound. Eur Radiol. 2010; 21(5):1097-101. DOI: 10.1007/s00330-010-1992-3. View

12.

Dong Q, Jamadar D, Robertson B, Jacobson J, Caoili E, Gest T . Posterior interosseous nerve of the elbow: normal appearances simulating entrapment. J Ultrasound Med. 2010; 29(5):691-6. DOI: 10.7863/jum.2010.29.5.691. View

13.

Wong K, Naidu M, David P, Abdulla M, Abdullah N, Kuppusamy U . Peripheral Nerve Regeneration Following Crush Injury to Rat Peroneal Nerve by Aqueous Extract of Medicinal Mushroom Hericium erinaceus (Bull.: Fr) Pers. (Aphyllophoromycetideae). Evid Based Complement Alternat Med. 2011; 2011:580752. PMC: 3176599. DOI: 10.1093/ecam/neq062. View

14.

Li W, Qian J, Liu X, Zhang Q, Wang L, Chen D . Management of severe crush injury in a front-line tent ICU after 2008 Wenchuan earthquake in China: an experience with 32 cases. Crit Care. 2009; 13(6):R178. PMC: 2811944. DOI: 10.1186/cc8160. View

15.

Xu J, You C, Zhou L, Wu B, Li X, Li Z . Long-term results of patients with head injuries treated in different hospitals after the Wenchuan, China, earthquake. World Neurosurg. 2011; 75(3-4):390-6. DOI: 10.1016/j.wneu.2011.02.006. View

16.

Seckel B . Enhancement of peripheral nerve regeneration. Muscle Nerve. 1990; 13(9):785-800. DOI: 10.1002/mus.880130904. View

17.

Schreiber S, Oldag A, Kornblum C, Kollewe K, Kropf S, Schoenfeld A . Sonography of the median nerve in CMT1A, CMT2A, CMTX, and HNPP. Muscle Nerve. 2013; 47(3):385-95. DOI: 10.1002/mus.23681. View

18.

Tagliafico A, Altafini L, Garello I, Marchetti A, Gennaro S, Martinoli C . Traumatic neuropathies: spectrum of imaging findings and postoperative assessment. Semin Musculoskelet Radiol. 2010; 14(5):512-22. DOI: 10.1055/s-0030-1268071. View

19.

Lundborg G, Myrhage R, Rydevik B . The vascularization of human flexor tendons within the digital synovial sheath region--structureal and functional aspects. J Hand Surg Am. 1977; 2(6):417-27. DOI: 10.1016/s0363-5023(77)80022-1. View

20.

Kleinman W . Cubital tunnel syndrome: anterior transposition as a logical approach to complete nerve decompression. J Hand Surg Am. 1999; 24(5):886-97. DOI: 10.1053/jhsu.1999.0886. View