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A review of main anatomical and sonographic features of subcutaneous nerve injuries related to orthopedic surgery

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Abstract

Lesion to subcutaneous nerves is a well-known risk of orthopedic surgery and a significant cause of postoperative pain and dissatisfaction in patients. High-resolution ultrasound can be used to visualize the vast majority of small subcutaneous nerves of the upper and lower limbs. Ultrasound detects nerve abnormalities such as focal hypoechoic thickening, stump neuroma, and scar encasement, and provides information not only about the peripheral nerve itself but also about its relationship to adjacent anatomical structures. The purpose of this review is to provide an overview of the anatomy of the main subcutaneous nerves damaged during orthopedic surgery, recall at-risk procedures, and offer useful anatomic landmarks to help the sonographer identify and follow the nerves when an iatrogenic lesion is suspected.

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  1. Department of Medical Imaging, Rennes University Hospitals, Sud Hospital, 16, boulevard de Bulgarie, 35000, Rennes, France

    Anne Causeret, Isabelle Ract, Jérémy Jouan & Raphaël Guillin

  2. Department of Orthopaedics and Traumatology, Rennes University Hospitals, 2, rue Henri-Le-Guilloux, 35000, Rennes, France

    Thierry Dreano & Mickaël Ropars

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  1. Anne Causeret
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  2. Isabelle Ract
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Causeret, A., Ract, I., Jouan, J. et al. A review of main anatomical and sonographic features of subcutaneous nerve injuries related to orthopedic surgery. Skeletal Radiol 47, 1051–1068 (2018). https://doi.org/10.1007/s00256-018-2917-5

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