Monograph: Ultrasound‐guided Treatment of Peripheral Entrapment Mononeuropathies

Diagnostic and Therapeutic Musculoskeletal Ultrasound Applications of the Shoulder

The advent of high-resolution neuromuscular ultrasound (US) has provided a useful tool for conservative treatment of peripheral entrapment mononeuropathies. US-guided interventions require careful coordination of transducer and needle movement along with a detailed understanding of sonoanatomy. Preprocedural planning and positioning can be helpful in performing these interventions. Corticosteroid injections, aspiration of ganglia, hydrodissection, and minimally invasive procedures can be useful nonsurgical treatments for mononeuropathies refractory to conservative care. Technical aspects as well as the current understanding of the indications and efficacy of these procedures for common entrapment mononeuropathies are reviewed in this study. Muscle Nerve, 2019

Objectives:
Describe the rationale for ultrasound (US)-guided corticosteroid injections, hydrodissection, aspiration of ganglia, and minimally invasive procedures in the treatment of peripheral mononeuropathies.
2) Apply the principles of transducer movement, needle tracking, and sonoanatomy as they pertain to performing US-guided peripheral nerve interventions.
3) Utilize the findings from recent trials on US-guided treatment of peripheral neuropathies to guide treatment decisions for individual patients.

ACCREDITATION STATEMENT
The AANEM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

DISCLOSURE INFORMATION
No authors or planners of this CME activity had any relevant financial relationships to disclose.

CREDIT DESIGNATION
The AANEM designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits ^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Authors

John W. Norbury, MD; Levon N. Nazarian, MD

Summary


Availability:	On-Demand
	Expires on Aug 30, 2025


Cost:	Member: $0.00 Non-Member: $15.00


Credit Offered:	1 CME Credit

Recommended

Monograph: Integrative Neuromuscular Medicine: Neuropathy and Neuropathic Pain: Consider the Alternatives

1 CME

$0.00 - $15.00

Case Study: Botulism in Adults

2 CME

$0.00 - $25.00

Monograph: Spasticity evaluation and management tools

Multiple Credits

$0.00 - $15.00

Monograph: Sports-related peripheral nerve injuries of the upper limb

Multiple Credits

$0.00 - $15.00

Monograph: Serial electrodiagnostic testing: Utility and indications in adult neurological disorders

Multiple Credits

$0.00 - $15.00

Monograph: Electrodiagnostic and ultrasound evaluation of respiratory weakness

Multiple Credits

$0.00 - $15.00

Monograph: The Early Development of Electromyography

Multiple Credits

$0.00 - $15.00

Invited Review: Electrodiagnostic studies and new diagnostic modalities for evaluation of peripheral nerve disorders

Multiple Credits

$0.00 - $25.00