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Sonographic Tracking of the Upper Limb Peripheral Nerves

A Pictorial Essay and Video Demonstration

Wu, Chueh-Hung MD; Chang, Ke-Vin MD; Özçakar, Levent MD; Hsiao, Ming-Yen MD; Hung, Chen-Yu MD; Shyu, Shaw-Gang MD; Wang, Tyng-Guey MD; Chen, Wen-Shiang MD, PhD

American Journal of Physical Medicine & Rehabilitation: September 2015 - Volume 94 - Issue 9 - p 740–747
doi: 10.1097/PHM.0000000000000344
Literature Review
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ABSTRACT Ultrasound has been the most useful imaging tool for musculoskeletal disorders whereby peripheral nerve lesions constitute a substantial portion. High-resolution ultrasound enables elaboration of peripheral nerve morphology and reciprocal anatomy. However, limited literature is available for delineating standard positions and tracking skills. The present article incorporates a series of ultrasound images and videos to demonstrate how to scan the suprascapular, axillary, musculocutaneous, median, ulnar, and radial nerves. Overall, the authors aim to demonstrate the relevant nerve tracking techniques as regards the upper extremity.

From the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan (C-HW, S-GS, T-GW, W-SC); Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan (K-VC, M-YH); Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Chu-Tung Branch, Hsinchu, Taiwan (C-YH).

All correspondence and requests for reprints should be addressed to: Ke-Vin Chang, MD, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch and College of Medicine, National Taiwan University, Taipei, Taiwan.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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