关键词: Atrapamiento Crural fascia Echo-guided Ecoguiado Entrapment Fascia crural Hidrodisección Hydrodissection Nervio peroneo superficial Parestesias Paresthesia Superficial peroneal nerve

Mesh : Humans Nerve Compression Syndromes / diagnostic imaging Ultrasonography, Interventional Peroneal Neuropathies / diagnostic imaging etiology Peroneal Nerve / diagnostic imaging Male Nerve Block / methods Female Middle Aged Ultrasonography

来  源:   DOI:10.1016/j.rh.2024.100852

Abstract:
Peripheral nerve entrapment is an underdiagnosed pathology when it is not the most common syndromes such as carpal tunnel syndrome or cubital tunnel syndrome. The symptomatic lesion of the superficial peroneal nerve (SPN) has a low incidence, being its diagnosis sometimes complex. It is based on a exhaustive physical examination and imaging tests such as ultrasound (US) or magnetic resonance imaging (RMI). Conservative treatment may sometimes not be sufficient, requiring surgical techniques in refractory cases. We present a patient diagnosed with superficial peroneal nerve entrapment by ultrasound and diagnostic nerve block that was subsequently resolved by hydrodissection technique at the level of the deep crural fascia tunnel. The results were satisfactory with a complete resolution of the clinical process since the application of this technique.
摘要:
当不是最常见的综合征如腕管综合征或肘管综合征时,周围神经卡压是一种未被诊断的病理。腓浅神经(SPN)的症状性病变发生率低,因为它的诊断有时很复杂。它基于详尽的体格检查和成像测试,例如超声(US)或磁共振成像(RMI)。保守治疗有时可能不够,在难治性病例中需要手术技术。我们介绍了一名通过超声和诊断神经阻滞诊断为腓浅神经卡压的患者,随后通过深部筋膜隧道水平的水力解剖技术解决了该患者。自应用该技术以来,临床过程的完整分辨率令人满意。
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