Role of high frequency ultrasound in diagnosis of entrapment neuropathy at wrist

Document Type : Original Article

Authors

1 department of radiology ,faculty of medicine,zagazig university

2 department of radiology,faculty of medicine,zagazig university

3 Radio diagnosis Department, Faculty of Medicine, Zagazig University

4 faculty of medicine ,department of radiology,zagazig university.

Abstract

Background: Entrapment neuropathy at wrist is devastating and causes pain, numbness, and muscle weakness at the site of the nerve affected consequences of high-energy trauma. Immediate recognition of the presence of entrapment neuropathy at wrist and determination of causes can be avital component of the evaluation of the entrapment neuropathy. Ultrasound has become standard practice in entrapment neuropathy evaluation. MRI imaging also provide additional information not available from ultrasound scans, potentially improving the capacity for accurate diagnosis.
Objective: The aim of the study is to assess the role of high frequency ultrasound with magnetic resonance in assessment of entrapment neuropathy at wrist.
Methods: This study was carried out at Radio diagnosis Department, Zagazig University Hospitals, The present study was carried on 16 patients of entrapment neuropathy at wrist .
Results : The ultrasound and MRI axial source images were evaluated in terms of entrapment neuropathy at wrist was done for all patients. Ultrasound was able to detect entrapment neuropathy of 16 patients,With female predominance, the commonest cause was idiopathic in 6 cases.
Conclusion: Our results indicate that the Ultrasound provides valuable ,effective, and satisfactory modality in diagnosis information for the assessment of entrapment neuropathy at wrist. However, MRI has an advantage of soft tissue and to determine the exact point of nerve entrapment. For diagnosis in the case of ambiguous symptoms, it is useful for revealing the cause of nerve compression.

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