CC BY-NC-ND 4.0 · Revista Fisioterapia Invasiva / Journal of Invasive Techniques in Physical Therapy 2019; 02(01): 29-38
DOI: 10.1055/s-0039-1681105
Review Article | Artículo de Revisión
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Valores ecográficos patológicos en los atrapamientos de nervio periférico–Revisión bibliográfica

Article in several languages: English | español
Jesús Miguel Bolívar Gázquez
1   Centro de Fisioterapia Jesús Bolívar, Calle Ignasi Ferretjans, Palma de Mallorca, Spain
,
Pablo Bellosta-López
2   Facultad de Ciencias de la Salud, Universidad San Jorge, Grupo de Investigación iPhysio, Zaragoza, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
15 April 2019 (online)

Resumen

Introducción En los últimos años, la ecografía musculoesquelética se está convirtiendo en una herramienta importante para la valoración de atrapamientos de nervio periférico en humanos.

Objetivo Investigar sobre los valores ecográficos patológicos de referencia del nervio periférico comprobando la utilidad de la ecografía en su evaluación.

Material y Métodos Se realizó una revisión bibliográfica en EBSCOhost, desde enero de 2016 hasta septiembre de 2017.

Resultados Se incluyeron 54 artículos. La valoración ecográfica se considera una herramienta válida en el diagnóstico del síndrome del túnel del carpo a nivel del túnel (sensibilidad 72–99%; especificidad 53–100%) y en el síndrome del canal cubital a la altura del epicóndilo medial (sensibilidad de 72–92%; especificidad del 75–93%).

Conclusiones La valoración ecográfica puede considerarse una herramienta válida para la evaluación del nervio periférico. Existe una alta precisión diagnóstica del área de sección transversal en el síndrome del túnel del carpo y en el síndrome del canal cubital, careciendo de suficiente evidencia en otras neuropatías.

 
  • References

  • 1 Kerasnoudis A, Tsivgoulis G. Nerve Ultrasound in Peripheral Neuropathies: A Review. J Neuroimaging 2015; 25 (04) 528-538
  • 2 Lawande AD, Warrier SS, Joshi MS. Role of ultrasound in evaluation of peripheral nerves. Indian J Radiol Imaging 2014; 24 (03) 254-258
  • 3 Bignotti B, Tagliafico A, Martinoli C. Ultrasonography of Peripheral Nerves: Anatomy and Pathology. Ultrasound Clin 2014; 9 (03) 525-536
  • 4 Kowalska B. Assessment of the utility of ultrasonography with high-frequency transducers in the diagnosis of entrapment neuropathies. J Ultrason 2014; 14 (59) 371-392
  • 5 Bianchi S, Martinoli C, Demondion X. Ultrasound of the nerves of the knee region: Technique of examination and normal US appearance. J Ultrasound 2007; 10 (02) 68-75
  • 6 Afsal M, Chowdhury V, Prakash A, Singh S, Chowdhury N. Evaluation of peripheral nerve lesions with high-resolution ultrasonography and color Doppler. Neurol India 2016; 64 (05) 1002-1009
  • 7 Dikici A, Ulaşlı AM, Dikici O. , et al. Median, Ulnar and Peroneal Nerve Cross-Sectional Area as a function of Muscle Mass and BMI. [Turk]. J Neurol Sci 2016; 33 (04) 585-593
  • 8 Jung JH, Kim KH, Choi SK, Shim JH. Usefulness of ultrasound for detecting suspected peripheral nerve lesions in diagnosis of peripheral neuropathy : case report and brief review of the literature. J Korean Neurosurg Soc 2013; 53 (02) 132-135
  • 9 Padua L, Liotta G, Di Pasquale A. , et al. Contribution of ultrasound in the assessment of nerve diseases. Eur J Neurol 2012; 19 (01) 47-54
  • 10 Seok HY, Jang JH, Won SJ, Yoon JS, Park KS, Kim BJ. Cross-sectional area reference values of nerves in the lower extremities using ultrasonography. Muscle Nerve 2014; 50 (04) 564-570
  • 11 Wilder-Smith E. Nerve Ultrasound: Ready for clinical practice?. Neurol Asia 2012; 17 (01) 1-4
  • 12 Marschall A, Ficjian A, Stradner MH. , et al. The Value of Median Nerve Sonography as a Predictor for Short- and Long-Term Clinical Outcomes in Patients with Carpal Tunnel Syndrome: A Prospective Long-Term Follow-Up Study. PLoS One 2016; 11 (09) e0162288
  • 13 Ellegaard HR, Fuglsang-Frederiksen A, Hess A, Johnsen B, Qerama E. High-resolution ultrasound in ulnar neuropathy at the elbow: A prospective study. Muscle Nerve 2015; 52 (05) 759-766
  • 14 Fu T, Cao M, Liu F. , et al. Carpal tunnel syndrome assessment with ultrasonography: value of inlet-to-outlet median nerve area ratio in patients versus healthy volunteers. PLoS One 2015; 10 (01) e0116777
  • 15 Rivas-Gallardo BP, Guerrero-Avendaño G, González-de-la-Cruz J. Hallazgos ultrasonográficos más frecuentes en el síndrome de túnel del carpo. Anales de Radiología México 2015; 14 (04) 371-376
  • 16 Fujimoto K, Kanchiku T, Kido K, Imajo Y, Funaba M, Taguchi T. Diagnosis of Severe Carpal Tunnel Syndrome Using Nerve Conduction Study and Ultrasonography. Ultrasound Med Biol 2015; 41 (10) 2575-2580
  • 17 Boyacı A, Tutoğlu A, Boyacı N. , et al. An evaluation of radial and ulnar artery flow characteristics in diabetic patients with carpal tunnel syndrome and the diagnostic value of ultrasonography in these patients. J Clin Exp Invest. 2014; 5 (02) 179-185
  • 18 Azami A, Maleki N, Anari H, Iranparvar Alamdari M, Kalantarhormozi M, Tavosi Z. The diagnostic value of ultrasound compared with nerve conduction velocity in carpal tunnel syndrome. Int J Rheum Dis 2014; 17 (06) 612-620
  • 19 Abrishamchi F, Zaki B, Basiri K, Ghasemi M, Mohaghegh M. A comparison of the ultrasonographic median nerve cross-sectional area at the wrist and the wrist-to-forearm ratio in carpal tunnel syndrome. J Res Med Sci 2014; 19 (12) 1113-1117
  • 20 Tsai NW, Lee LH, Huang CR. , et al. The diagnostic value of ultrasonography in carpal tunnel syndrome: a comparison between diabetic and non-diabetic patients. BMC Neurol 2013; 13: 65
  • 21 Sarraf P, Malek M, Ghajarzadeh M, Miri S, Parhizgar E, Emami-Razavi SZ. The best cutoff point for median nerve cross sectional area at the level of carpal tunnel inlet. Acta Med Iran 2014; 52 (08) 613-618
  • 22 Kim HS, Joo SH, Cho HK, Kim YW. Comparison of proximal and distal cross-sectional areas of the median nerve, carpal tunnel, and nerve/tunnel index in subjects with carpal tunnel syndrome. Arch Phys Med Rehabil 2013; 94 (11) 2151-2156
  • 23 Ghanei ME, Karami M, Zarezadeh A, Sarrami AH. Usefulness of combination of grey-scale and color Doppler ultrasound findings in the diagnosis of ulnar nerve entrapment syndrome. J Res Med Sci 2015; 20 (04) 342-345
  • 24 Babusiaux D, Laulan J, Bouilleau L. , et al. Contribution of static and dynamic ultrasound in cubital tunnel syndrome. Orthop Traumatol Surg Res 2014; 100 (4, Suppl): S209-S212
  • 25 Ginanneschi F, Filippou G, Milani P, Biasella A, Rossi A. Ulnar nerve compression neuropathy at Guyon's canal caused by crutch walking: case report with ultrasonographic nerve imaging. Arch Phys Med Rehabil 2009; 90 (03) 522-524
  • 26 Kuo TT, Lee MR, Liao YY, Chen JP, Hsu YW, Yeh CK. Assessment of Median Nerve Mobility by Ultrasound Dynamic Imaging for Diagnosing Carpal Tunnel Syndrome. PLoS One 2016; 11 (01) e0147051
  • 27 Huang SW, Wang WT. Early detection of peroneal neuropathy by ultrasound. Indian J Orthop 2014; 48 (01) 104-106
  • 28 Tagliafico A, Pugliese F, Bianchi S. , et al. High-resolution sonography of the palmar cutaneous branch of the median nerve. AJR Am J Roentgenol 2008; 191 (01) 107-114
  • 29 McDonagh C, Alexander M, Kane D. The role of ultrasound in the diagnosis and management of carpal tunnel syndrome: a new paradigm. Rheumatology (Oxford) 2015; 54 (01) 9-19
  • 30 Cartwright MS, Hobson-Webb LD, Boon AJ. , et al; American Association of Neuromuscular and Electrodiagnostic Medicine. Evidence-based guideline: neuromuscular ultrasound for the diagnosis of carpal tunnel syndrome. Muscle Nerve 2012; 46 (02) 287-293
  • 31 Chan KY, George J, Goh KJ, Ahmad TS. Ultrasonography in the evaluation of carpal tunnel syndrome: diagnostic criteria and comparison with nerve conduction studies. Neurol Asia 2011; 16 (01) 57-64
  • 32 Ghasemi-Esfe AR, Khalilzadeh O, Mazloumi M. , et al. Combination of high-resolution and color Doppler ultrasound in diagnosis of carpal tunnel syndrome. Acta Radiol 2011; 52 (02) 191-197
  • 33 Fowler JR, Gaughan JP, Ilyas AM. The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis. Clin Orthop Relat Res 2011; 469 (04) 1089-1094
  • 34 Chiou HJ, Chou YH, Cheng SP. , et al. Cubital tunnel syndrome: diagnosis by high-resolution ultrasonography. J Ultrasound Med 1998; 17 (10) 643-648
  • 35 Cartwright MS, Passmore LV, Yoon JS, Brown ME, Caress JB, Walker FO. Cross-sectional area reference values for nerve ultrasonography. Muscle Nerve 2008; 37 (05) 566-571
  • 36 Martínez-Payá JJ, Ríos-Díaz J, Del Baño-Aledo ME, García-Martínez D, de Groot-Ferrando A, Meroño-Gallut J. Biomechanics of the Median Nerve During Stretching as Assessed by Ultrasonography. J Appl Biomech 2015; 31 (06) 439-444
  • 37 Erra C, Granata G, Liotta G. , et al. Ultrasound diagnosis of bony nerve entrapment: case series and literature review. Muscle Nerve 2013; 48 (03) 445-450
  • 38 Khachi G, Skirgaudes M, Lee WP, Wollstein R. The clinical applications of peripheral nerve imaging in the upper extremity. J Hand Surg Am 2007; 32 (10) 1600-1604
  • 39 Wu CH, Chang KV, Özçakar L. , et al. Sonographic tracking of the upper limb peripheral nerves: a pictorial essay and video demonstration. Am J Phys Med Rehabil 2015; 94 (09) 740-747
  • 40 Schminke U. Ultrasonography of peripheral nerves – Clinical significance. Perspectives in Medicine. 2012; 1 (1–12): 422-426
  • 41 Park GY, Kim JM, Lee SM. The ultrasonographic and electrodiagnostic findings of ulnar neuropathy at the elbow. Arch Phys Med Rehabil 2004; 85 (06) 1000-1005
  • 42 Handolescu C, Ispas AT. Ultrasonographic assessment of ulnar nerve dimensions at the level of guyon canal. Revista Română de Anatomie funcţională şi clinică, macro şi microscopică şi de Antropologie 2016; 15 (03) 295-99
  • 43 Chen J, Wu S, Ren J. Ultrasonographic reference values for assessing normal radial nerve ultrasonography in the normal population. Neural Regen Res 2014; 9 (20) 1844-1849
  • 44 Raeburn K, Burns D, Hage R, Tubbs RS, Loukas M. Cross-sectional sonographic assessment of the posterior interosseous nerve. Surg Radiol Anat 2015; 37 (10) 1155-1160
  • 45 Zhu J, Zhao Y, Liu F, Huang Y, Shao J, Hu B. Ultrasound of the lateral femoral cutaneous nerve in asymptomatic adults. BMC Musculoskelet Disord 2012; 13: 227
  • 46 Therimadasamy AK, Seet RC, Kagda YH, Wilder-Smith EP. Combination of ultrasound and nerve conduction studies in the diagnosis of tarsal tunnel syndrome. Neurol India 2011; 59 (02) 296-297