By Siegfried Peer, Gerd Bodner, A.L. Baert, G. Bodner, H. Gruber, S. Kiechl, P. Kovacs, S. Peer, H. Piza-Katzer
Because the first version of this booklet, sonography of the peripheral worried procedure has advanced additional. This moment, revised variation contains many state of the art high-resolution photos, the textual content has been tailored to mirror the present country of the literature, and data is gifted utilizing a extra glossy structure. This publication offers a pragmatic, clinically orientated evaluate of all elements of sonographic analysis and interventional treatment of the peripheral frightened approach.
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Additional resources for High-Resolution Sonography of the Peripheral Nervous System (Medical Radiology Diagnostic Imaging)
The saphenus nerve supplies the knee and the medial aspect of the lower leg with sensory ﬁbers and runs subcutaneously to the region of the superﬁcial pes anserinus. The femoral nerve is best assessed with sonography in its groin section. Here it can be found next to the pulsating femoral artery with an oval or triangular cross-sectional appearance. The distal section of the femoral nerve in its pelvic course up to 10 cm proximal to the inguinal ligament may also be visualized with sonography after sufﬁcient evacuation of air in the hypogastric bowel.
19a–d. Transverse US scan (a) with corresponding scheme (b) and longitudinal US scan (c) with corresponding scheme (d) of the lateral cutaneous femoral nerve (arrows) piercing through sartorius muscle (1) medial to the superior anterior iliacal spine (2) 34 H. Gruber and P. Kovacs laterally by the iliac muscle. It leaves the muscles’ lacuna as the most medial structure separated from the adjacent femoral artery only by the ileopectineal arch (Fig. 20). The latter is a thin tendinous structure, which is part of the inguinal ligament complex, and connects the inguinal ligament and the body of the iliac bone.
24 H. Gruber and P. Kovacs a b Fig. 9a,b. Transverse US scan (a) with the corresponding cryosection (b) showing the ulnar nerve (arrow) in its typical position close to the brachial vascular bundle (brachial artery and vein 2) ventral to the triceps muscle (1) a c b Fig. 10a–c. Transverse US scan (a) with the corresponding cryosection (b) showing the axillary nerve and accompanying vessels (arrows) ventrally covered by the lateral parts of the latissimus dorsi muscle (1) and the pectoral muscle (2) inferior to the glenoid part of the scapula (3).