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03-02-2025 | Review

The emerging field of ultrasound-guided nerve decompression surgery: a narrative review

Author: Thomas Apard

Published in: International Orthopaedics

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Abstract

Introduction

The development of high-frequency ultrasound technology has transformed musculoskeletal diagnostic practices, offering detailed, multi-plane visualization of superficial structures with remarkable precision and comfort. This non-invasive, pain-free modality is particularly suited for patients of all ages, including children.

Purpose

Ultrasound serves as a valuable adjunct to clinical evaluations by facilitating the identification of conditions such as tumours, tenosynovitis, fractures, and nerve entrapments. Portable ultrasound devices have further expanded its utility to clinical, surgical, and emergency settings. Dynamic assessments, such as nerve gliding and entrapment detection, benefit from its precision, enabling targeted therapeutic interventions with minimal risks.

Method

The integration of ultrasound into surgical techniques, termed ultrasonosurgery, allows for minimally invasive management of conditions like carpal tunnel syndrome and other nerve compressions. By leveraging high-resolution imaging, these procedures can be performed under local anaesthesia, minimizing traditional surgical complications.

Result

This innovative approach aligns with contemporary healthcare trends emphasizing wide-awake surgeries, office-based care, mini-invasive procedures, and technological advancements. Such practices not only streamline patient care but also reduce costs and improve outcomes.
Literature
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go back to reference Hagert E, Lalonde D (2017) Nerve entrapment syndromes. In: Chang J, Neligan PC (eds) Nelligan’s Plastic Surgery. Vol. 6: Hand and Upper Limb, 4th edn. Elsevier, Philadelphia, pp 525–48 Hagert E, Lalonde D (2017) Nerve entrapment syndromes. In: Chang J, Neligan PC (eds) Nelligan’s Plastic Surgery. Vol. 6: Hand and Upper Limb, 4th edn. Elsevier, Philadelphia, pp 525–48
Metadata
Title
The emerging field of ultrasound-guided nerve decompression surgery: a narrative review
Author
Thomas Apard
Publication date
03-02-2025
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-025-06418-2