Ultrasound assessment of the sural nerve in patients with neuropathic pain after ankle surgery

Autor: Rbia, N., Nijhuis, T.H., Roukema, G.R., Selles, R.W., Vlies, C.H. van der, Hovius, S.E.R.
Rok vydání: 2018
Předmět:
Zdroj: Muscle and Nerve, 57, 3, pp. 407-413
Muscle and Nerve, 57, 407-413
ISSN: 0148-639X
Popis: Item does not contain fulltext INTRODUCTION: The sural nerve may be damaged after ankle injury. The aim of our study was to determine the diagnostic utility of high-resolution sonography in patients with ankle fractures treated by open reduction and internal fixation in whom there was a clinical suspicion of sural neuropathy. METHODS: We examined the ultrasound (US) characteristics of patients with and without postsurgical sural neuropathic pain and healthy volunteers. Cross-sectional area (CSA), echogenicity, and vascularization of the sural nerves were recorded. RESULTS: Fourteen participants and all sural nerves were identified. CSA (P < 0.001) and vascularization (P = 0.002) were increased in symptomatic patients when compared with asymptomatic patients and healthy volunteers. There were no significant differences in nerve echogenicity (P = 0.983). DISCUSSION: US may be a valuable tool for evaluating clinically suspected sural nerve damage after ankle stabilization surgery. Sural nerve abnormalities are seen in patients with postsurgical neuropathic pain. Muscle Nerve 57: 407-413, 2018.
Databáze: OpenAIRE
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