Advances in Imaging of Compressive Neuropathies.

Hand Clin · Aug 2024 · Review

Graesser EA, Parsons MS, Dy CJ, Brogan DM

Division of Hand and Microsurgery, Department of Orthopaedic Surgery, Washington University School of Medicine in St.…

Hand & Upper Extremity

SUMMARY — THE REDUCTIONReviews advances in ultrasound, MR neurography, and emerging optical coherence tomography for evaluating compressive neuropathies and monitoring nerve recovery.
Abstract, as published

Ultrasound and magnetic resonance neurography are useful modalities to aid in the assessment of compressive neuropathies, although they are still limited in their resolution of nerve microstructure and their capacity to monitor postoperative nerve recovery. Optical coherence tomography, a preclinical imaging modality, is promising in its ability to better identify structural and potential physiologic changes to peripheral nerves, but requires additional testing and research prior to widespread clinical implementation. Further advances in nerve imaging may elucidate the ability to visualize the zone of nerve injury intraoperatively, monitor the progression of nerve regeneration, and localize problems during nerve recovery.

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