A reliable technique for ultrasound-guided perineural injection in ulnar neuropathy at the elbow.

Abstract:

INTRODUCTION:Ulnar neuropathy at the elbow (UNE) is a common peripheral compression neuropathy and, in most cases, occurs at 2 sites, the retroepicondylar groove or the cubital tunnel. With regard to a potential therapeutic approach with perineural corticosteroid injection, the aim of this study was to evaluate the distribution of injection fluid applied at a standard site. METHODS:We performed ultrasound-guided (US-guided) perineural injections to the ulnar nerve halfway between the olecranon and the medial epicondyle in 21 upper limbs from 11 non-embalmed cadavers. In anatomic dissection we investigated the spread of injected ink. RESULTS:Ink was successfully injected into the perineural sheath of the ulnar nerve in all 21 cases (cubital tunnel: 21 of 21; retroepicondylar groove: 19 of 21). CONCLUSION:US-guided injection between the olecranon and the medial epicondyle is a feasible and safe method to reach the most common sites of ulnar nerve entrapment. Muscle Nerve 56: 237-241, 2017.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Hamscha UM,Tinhofer I,Heber S,Grisold W,Weninger WJ,Meng S

doi

10.1002/mus.25490

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

237-241

issue

2

eissn

0148-639X

issn

1097-4598

journal_volume

56

pub_type

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