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Case Reports
. 2019 Jun 10;11(6):e4871.
doi: 10.7759/cureus.4871.

Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma

Antonio J Forte  1 , Daniel Boczar  2 , Jeremie D Oliver  3 , Andrea Sisti  2 , Steven R Clendenen  4
Affiliations
Case Reports

Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma

Antonio J Forte et al. Cureus. .

Abstract

A traumatic neuroma is a major cause of persistent neuropathic pain. Diagnostic imaging tools are critical to the success of surgical treatment. Ultra-high-frequency ultrasound is a novel technology that can generate frequencies up to 70 MHz, assessing structures up to 30 μm. We report a unique case of intraoperative use of ultra-high-frequency ultrasound to provide detailed imaging of nerve fascicles, facilitating surgical excision of the mass.

Keywords: nerve fascicles; neuroma; ultra-high-frequency ultrasound.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Magnetic Resonance Imaging of the Wrist
Green arrows point to the median nerve mass: A) coronal view; B) axial view
Figure 2
Figure 2. Ultra-high-frequency Ultrasound Images
A) Cross-section of the median nerve distal to the neuroma (yellow oval); B) long axis of the neuroma (blue oval) and median nerve (yellow box); white arrows point to the long axis of the median nerve fascicles; C) cross-section of the median nerve (yellow oval) and neuroma (blue oval).
Figure 3
Figure 3. Intraoperative Image
A-B) Before resection of the neuroma (black arrows); C) intraoperative microscopic view of the neuroma, X8 magnification (black arrow); D) macroscopic view after resection of the neuroma (blue arrow).
See this image and copyright information in PMC

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