Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study
Percutaneous electrical stimulation has been performed for years with only the assistance of anatomical landmarks. The development of real-time ultrasonography guidance has improved the precision and safety of these percutaneous interventions. Despite ultrasound-guided and palpation-guided procedure...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/3711 |
| Acceso en línea: | http://hdl.handle.net/20.500.12328/3711 https://dx.doi.org/10.3390/healthcare11111603 |
| Access Level: | acceso abierto |
| Palabra clave: | Agulla Ecografia Nervi cubital Túnel cubital Precisió Palpació Aguja Ultrasonido Nervio de cúbito Exactitud Palpación Needle Ultrasound Ulnar nerve Cubital tunnel Accuracy Palpation 61 |
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Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric studyLópez-de-Celis, CarlosFernández-de-las-Peñas, CésarMalo-Urriés, MiguelAlbarova-Corral, IsabelArias-Buría, José LuisAlbert, Pérez-BellmuntRodríguez-Sanz, JacoboGonzalez-Rueda, VanessaBorrella Andrés, SergioAgullaEcografiaNervi cubitalTúnel cubitalPrecisióPalpacióAgujaUltrasonidoNervio de cúbitoTúnel cubitalExactitudPalpaciónNeedleUltrasoundUlnar nerveCubital tunnelAccuracyPalpation61Percutaneous electrical stimulation has been performed for years with only the assistance of anatomical landmarks. The development of real-time ultrasonography guidance has improved the precision and safety of these percutaneous interventions. Despite ultrasound-guided and palpation-guided procedures being performed routinely for targeting nerve tissues in the upper extremity, the precision and safety of these techniques are unknown. The aim of this cadaveric study was to determine and compare the precision and safety of ultrasound-guided versus palpation-guided needling procedure with and without the handpiece of the ulnar nerve on a cadaveric model. Five physical therapists performed a series of 20 needle insertion tasks each (n = 100), 10 palpation-guided (n = 50) and 10 ultrasound-guided (n = 50) on cryopreserved specimens. The purpose of the procedure was to place the needle in proximity to the ulnar nerve at the cubital tunnel. The distance to target, time performance, accurate rate, number of passes, and unintentional puncture of surrounding structures were compared. The ultrasound-guided procedure was associated with higher accuracy (66% vs. 96%), lower distance from needle to the target (0.48 ± 1.37 vs. 2.01 ± 2.41 mm), and a lower frequency of perineurium puncture (0% vs. 20%) when compared with the palpation-guided procedure. However, the ultrasound-guided procedure required more time (38.33 ± 23.19 vs. 24.57 ± 17.84 s) than the palpation-guided procedure (all, p < 0.001). Our results support the assumption that ultrasound guidance improves the accuracy of needling procedures on the ulnar nerve at the cubital tunnel when compared with palpation guidance.info:eu-repo/semantics/publishedVersionMDPI2023info:eu-repo/semantics/articleHealthcarehttp://hdl.handle.net/20.500.12328/3711https://dx.doi.org/10.3390/healthcare11111603reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésHealthcare11;11https://www.mdpi.com/2227-9032/11/11/1603© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/37112026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| title |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| spellingShingle |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study López-de-Celis, Carlos Agulla Ecografia Nervi cubital Túnel cubital Precisió Palpació Aguja Ultrasonido Nervio de cúbito Túnel cubital Exactitud Palpación Needle Ultrasound Ulnar nerve Cubital tunnel Accuracy Palpation 61 |
| title_short |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| title_full |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| title_fullStr |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| title_full_unstemmed |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| title_sort |
Precision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study |
| dc.creator.none.fl_str_mv |
López-de-Celis, Carlos Fernández-de-las-Peñas, César Malo-Urriés, Miguel Albarova-Corral, Isabel Arias-Buría, José Luis Albert, Pérez-Bellmunt Rodríguez-Sanz, Jacobo Gonzalez-Rueda, Vanessa Borrella Andrés, Sergio |
| author |
López-de-Celis, Carlos |
| author_facet |
López-de-Celis, Carlos Fernández-de-las-Peñas, César Malo-Urriés, Miguel Albarova-Corral, Isabel Arias-Buría, José Luis Albert, Pérez-Bellmunt Rodríguez-Sanz, Jacobo Gonzalez-Rueda, Vanessa Borrella Andrés, Sergio |
| author_role |
author |
| author2 |
Fernández-de-las-Peñas, César Malo-Urriés, Miguel Albarova-Corral, Isabel Arias-Buría, José Luis Albert, Pérez-Bellmunt Rodríguez-Sanz, Jacobo Gonzalez-Rueda, Vanessa Borrella Andrés, Sergio |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
Agulla Ecografia Nervi cubital Túnel cubital Precisió Palpació Aguja Ultrasonido Nervio de cúbito Túnel cubital Exactitud Palpación Needle Ultrasound Ulnar nerve Cubital tunnel Accuracy Palpation 61 |
| topic |
Agulla Ecografia Nervi cubital Túnel cubital Precisió Palpació Aguja Ultrasonido Nervio de cúbito Túnel cubital Exactitud Palpación Needle Ultrasound Ulnar nerve Cubital tunnel Accuracy Palpation 61 |
| description |
Percutaneous electrical stimulation has been performed for years with only the assistance of anatomical landmarks. The development of real-time ultrasonography guidance has improved the precision and safety of these percutaneous interventions. Despite ultrasound-guided and palpation-guided procedures being performed routinely for targeting nerve tissues in the upper extremity, the precision and safety of these techniques are unknown. The aim of this cadaveric study was to determine and compare the precision and safety of ultrasound-guided versus palpation-guided needling procedure with and without the handpiece of the ulnar nerve on a cadaveric model. Five physical therapists performed a series of 20 needle insertion tasks each (n = 100), 10 palpation-guided (n = 50) and 10 ultrasound-guided (n = 50) on cryopreserved specimens. The purpose of the procedure was to place the needle in proximity to the ulnar nerve at the cubital tunnel. The distance to target, time performance, accurate rate, number of passes, and unintentional puncture of surrounding structures were compared. The ultrasound-guided procedure was associated with higher accuracy (66% vs. 96%), lower distance from needle to the target (0.48 ± 1.37 vs. 2.01 ± 2.41 mm), and a lower frequency of perineurium puncture (0% vs. 20%) when compared with the palpation-guided procedure. However, the ultrasound-guided procedure required more time (38.33 ± 23.19 vs. 24.57 ± 17.84 s) than the palpation-guided procedure (all, p < 0.001). Our results support the assumption that ultrasound guidance improves the accuracy of needling procedures on the ulnar nerve at the cubital tunnel when compared with palpation guidance. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12328/3711 https://dx.doi.org/10.3390/healthcare11111603 |
| url |
http://hdl.handle.net/20.500.12328/3711 https://dx.doi.org/10.3390/healthcare11111603 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Healthcare 11;11 https://www.mdpi.com/2227-9032/11/11/1603 |
| dc.rights.none.fl_str_mv |
https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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Healthcare |
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MDPI |
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MDPI |
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Recercat. Dipósit de la Recerca de Catalunya |
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