ANALYSIS OF ULTRASOUND CRITERIA IN THE DIAGNOSIS OF POST-TRAUMATIC NEUROPATHIES: AN OVERVIEW OF MODERN METHODS AND THEIR USE IN CLINICAL PRACTICE
DOI:
https://doi.org/10.32689/2663-0672-2023-4-7Keywords:
ultrasound diagnostics, post-traumatic neuropathies, neuropathic pain, conservative treatment, surgical methods of treatmentAbstract
Background. Nowadays, the issue of choosing a method of treatment for post-traumatic neuropathies is quite relevant. This is the topic of our study. Despite their high prevalence, they often remain difficult to diagnose and treat in clinical practice. Aim. The aim of the study was to analyze the ultrasound criteria for selecting patients for conservative or surgical treatment of posttraumatic neuropathies. Materials and methods: analysis of modern scientific sources from available scientometric databases. Results. Peripheral nerve injuries can vary greatly in causes, severity, and clinical manifestations. Depending on the location, severity, and cause, treatment tactics may vary from conservative medical treatment to various surgical interventions. To avoid further iatrogenic damage, they require precise orientation and planning. Currently, a variety of imaging modalities are used to detect and diagnose post-traumatic neuropathies, including ultrasound, computed tomography, magnetic resonance imaging, and the efficiency and accuracy of the images vary greatly and depend on the nature and severity of the injuries. Ultrasound is becoming an increasingly valuable imaging tool for the diagnosis and treatment of peripheral nerve injuries. Its real-time capability and high resolution allows for efficient, safe, and cost-effective scanning that helps assess the extent of nerve injury and severity. In both the acute and chronic phases of peripheral neuropathy, (semi-)quantitative measurements of the peripheral nerve can be combined with various sonographic models of its histologic components. Acute and chronic peripheral nerve compression can be distinguished by high-resolution ultrasound imaging. Ultrasound has paved the way for innovative treatment options, improving the outcomes and quality of life of patients with post-traumatic neuropathies. Conclusions. Determination of ultrasound criteria for the diagnosis of patients with post-traumatic neuropathies makes it possible to select the optimal method of conservative or surgical treatment.
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