Ultrasound Observation of the Sciatic Nerve and its Branches at the Popliteal Fossa: Always Visible, Never Seen S. Ricci European Journal of Vascular.

Slides:

Advertisements

Similar presentations

Detection of Abdominal Aortic Aneurysm in Patients with Peripheral Artery Disease A. Barba, L. Estallo, L. Rodríguez, M. Baquer, M. Vega de Céniga European.

Advertisements

Duplex Ultrasound Investigation of the Veins of the Lower Limbs after Treatment for Varicose Veins – UIP Consensus Document M. De Maeseneer, O. Pichot,

Observer Agreement of Lower Limb Venous Reflux Assessed by Duplex Ultrasound Scanning using Manual and Pneumatic Cuff Compression in Patients with Chronic.

Indocyanine Green Lymphography Findings in Primary Leg Lymphedema T. Yamamoto, H. Yoshimatsu, M. Narushima, N. Yamamoto, A. Hayashi, I. Koshima European.

Plantar Flexion as an Alternative to Treadmill Exercise for Evaluating Patients with Intermittent Claudication K. Yamamoto, T. Miyata, A. Onozuka, H. Koyama,

Prognostic Significance of Declining Ankle-brachial Index Values in Patients with Suspected or Known Peripheral Arterial Disease H.H.H. Feringa, S.E. Karagiannis,

Lydia R. Frost, Stephen H.M. Brown Manual Therapy

Optimising Treatment Parameters for Radiofrequency Induced Thermal Therapy (RFiTT): A Comparison of the Manufacturer's Treatment Guidance with a Locally.

Ultrasonography of MADSAM neuropathy: Focal nerve enlargements at sites of existing and resolved conduction blocks Erika Scheidl, Josef Böhm, Magdolna.

John Large, F.R.C.S. (Edin.) Journal of Vascular Surgery

The Superficial Cervical Plexus Block for Postoperative Pain Therapy in Carotid Artery Surgery. A Prospective Randomised Controlled Trial M. Messner,

The surgical anatomy of the small saphenous vein and adjacent nerves in relation to endovenous thermal ablation Anton L.A. Kerver, MSc, Arie C. van der.

Treatment of Primary Varicose Veins by Endovenous Obliteration with the VNUS Closure System: Results of a Prospective Multicentre Study Ph. Nicolini,

Ko-Jen Li, Song-Chou Hsieh Journal of Medical Ultrasound

Persistent sciatic artery: Embryology, pathology, and treatment

Outcome of Endovenous Laser Therapy for Saphenous Reflux and Varicose Veins: Medium-Term Results Assessed by Ultrasound Surveillance K.A. Myers, D. Jolley

Presence of Lower Limb Deep Vein Thrombosis and Prognosis in Patients with Symptomatic Pulmonary Embolism: Preliminary Report T. Yamaki, M. Nozaki, H.

Radiofrequency Ablation vs Conventional Surgery for Varicose Veins – a Comparison of Treatment Costs in a Randomised Trial S. Subramonia, T. Lees European.

(A) Sciatic nerve anatomy (popliteal), ultrasound image

(A) Sciatic nerve anatomy (popliteal), ultrasound image

The Influence of Superficial Venous Surgery and Compression on Incompetent Calf Perforators in Chronic Venous Leg Ulceration M.S. Gohel, J.R. Barwell,

Outcome of Ultrasound-guided Sclerotherapy for Varicose Veins: Medium-term Results Assessed by Ultrasound Surveillance K.A. Myers, D. Jolley, A. Clough,

The surgical anatomy of the small saphenous vein and adjacent nerves in relation to endovenous thermal ablation Anton L.A. Kerver, MSc, Arie C. van der.

Unusual surgical exposures to avoid scarred or infected standard access routes to the common femoral, deep femoral, and popliteal arteries Frank J. Veith,

Greater saphenous vein evaluation from computed tomography angiography as a potential alternative to conventional ultrasonography William F. Johnston,

Ning-Fei Liu, MD, PhD, Qing Lu, MD, Zhi-Xin Yan, MD

Kathleen D. Gibson, MD, Brian L

Failure of microvenous valves in small superficial veins is a key to the skin changes of venous insufficiency Jordan R. Vincent, Gregory Thomas Jones,

Popliteal fossa By Prof. Dr. Kawther Ahmed Prof. Dr. Kawther Ahmed.

Fascial relationships of the short saphenous vein

The surgical anatomy of the small saphenous vein and adjacent nerves in relation to endovenous thermal ablation Anton L.A. Kerver, MSc, Arie C. van der.

The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves Gregor Schweighofer, MD, Dominic Mühlberger,

Todd M. Gerkin, MD, Hugh G. Beebe, MD, David M. Williams, MD, Jess R

The saphenous vein: Derivation of its name and its relevant anatomy

Veins along the course of the sciatic nerve

The thigh extension of the lesser saphenous vein: From Giacomini's observations to ultrasound scan imaging Mihael Georgiev, MDa, Kenneth A Myers, FRACSb,

Barrie A. Price, MD, MS, FRCS, FCPhleb, Charmaine C

The nonsaphenous vein of the popliteal fossa: Prevalence, patterns of reflux, hemodynamic quantification, and clinical significance Konstantinos T. Delis,

Volume 24, Issue 2, Pages e7-e9 (August 2012)

Knee joint ultrasonography of the ACLT rabbit experimental model of osteoarthritis: relevance and effectiveness in detecting meniscal lesions C. Boulocher,

Compression syndromes of the popliteal neurovascular bundle due to Baker cyst Jorge E. Sanchez, BS, Nicole Conkling, BA, BS, Nicos Labropoulos, PhD, DIC,

Thrombosis in unusual sites of the lower extremity veins

Role of computed tomographic angiography in the detection and comprehensive evaluation of persistent sciatic artery Ah Young Jung, MD, Whal Lee, MD,

Fascial relationships of the short saphenous vein

Real-time duplex ultrasound mapping of the greater saphenous vein before in situ infrainguinal revascularization Bruce A. Ruoff, M.D., John J. Cranley,

Symptomatic popliteal venous aneurysm causing a footdrop

Comparative evaluation of the visibility and block characteristics of a stimulating needle and catheter vs an echogenic needle and catheter for sciatic.

O. Richter, R. Schneider, M. Moche, S. Rohm, P. Fellmer, S. Jonas

Barrie A. Price, MD, MS, FRCS, FCPhleb, Charmaine C

Lateral approach to the popliteal artery

Extension of saphenous thrombus into the femoral vein: A potential complication of new endovenous ablation techniques Geza Mozes, MD, PhD, Manju Kalra,

Regarding “The anatomy of the small saphenous vein: Fascial and neural relations, saphenofemoral junction, and valves” Alberto Caggiati, MD Journal.

Aplasia of Great Saphenous Vein: A Case Report

Quantification of venous reflux by means of duplex scanning

Extended study of aneurysm formation in umbilical vein grafts

Jim H. Geselschap, MD, Wijnand B. van Gent, MD, Cees H. A

Volume 20, Issue 4, Pages e30-e31 (October 2010)

Reviewer Acknowledgment

John J. Skillman, MD, K. Craig Kent, MD, David H

The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction Konstantinos T. Delis, MD, PhD, FRCSI, EBSQvasc, Mark Swan, MRCS,

Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases Federico.

Regarding “Venous ulcers and the superficial venous system”

Homologous veins as an arterial substitute: Long-term results

Signs and symptoms of saphenous nerve injury after greater saphenous vein stripping: prevalence, severity, and relevance for modern practice Charles.

Subfascial endoscopic perforating vein surgery as treatment for lateral perforating vein incompetence and venous ulceration P.A.R de Rijcke, MD, W.C.J.

Popliteal entrapment syndrome: A report of tibial nerve entrapment

Superficial venous aneurysms of the small saphenous vein

William C. Krupski, MD. , Arie Bass, MD, Ralph B. Dilley, MD, Eugene F

John Large, F.R.C.S. (Edin.) Journal of Vascular Surgery

Uei Pua, MD, Lawrence H.H. Quek, MD Journal of Vascular Surgery

Presentation transcript:

Ultrasound Observation of the Sciatic Nerve and its Branches at the Popliteal Fossa: Always Visible, Never Seen S. Ricci European Journal of Vascular and Endovascular Surgery Volume 30, Issue 6, Pages 659-663 (December 2005) DOI: 10.1016/j.ejvs.2005.06.004 Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 1 Left leg, transverse ultrasound image of the popliteal fossa. The nerve is shown by the arrows, in close contact with the popliteal vein (P). It is a round structure, more echogenic than the surrounding tissues, containing small hypoechogenic areas corresponding to the nerve fibres. European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 2 Left leg, SSV incompetence, transverse image. The appearance of the nerve (arrows) is irregular, impressed by dilatation of the SSV (S). European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 3 Increasing the angle of insonation decreases the total echogenicity of the image but to a greater degree in muscles and tendons than in the nerve. This increases the relative intensity of the nerve. Left—perpendicular insonation. Right—angled insonation with relatively increased echogenicity of the SN. European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 4 Right leg, transverse images proceeding distally. S, saphenous; P, popliteal. (a) Appearance of the nerve in the distal thigh, lying in a deep position under the muscles. (b) In a more distal scan, the nerve is clearly visible, becoming more superficial and lying superficially to the PV. (c) At the upper edge of the popliteal fossa the SN begins to divide, emitting the common peroneal nerve (PN) laterally (right) whilst the tibial nerve (TN) continues. (d) A few millimetres distally the separation is nearly completed. European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 5 Right leg. Medial course of the SPJ in the ‘anastomotic’ type of junction. The SPJ joins the popliteal vein on its medial aspect. S, saphenous; P, popliteal; SN, sciatic nerve. European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions

Fig. 6 Longitudinal scan of the SN under the muscles of the distal thigh. The nerve (arrowed) lies over the PV and shows a fibrillar appearance with parallel linear internal echoes. European Journal of Vascular and Endovascular Surgery 2005 30, 659-663DOI: (10.1016/j.ejvs.2005.06.004) Copyright © 2005 Elsevier Ltd Terms and Conditions