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Musculoskeletal and Sports Medicine

Session Name: Learning Center: Ultrasonography for common entrapment neuropathies of the upper extremity

Learning Center: Ultrasonography for Common Entrapment Neuropathies of the Upper Extremity

Friday, October 21, 2022

11:00 AM – 12:00 PM ET

Session Director(s)

Mohammed Emam, MD

Assistant Professor
Johns Hopkins University
Towson, Maryland

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Faculty(s)

AA

Antigone Argyriou, MD

Medical Director of Pain Medicine
South Shore Neurologic Associates
Glen Head, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
AH

Antonio Howard, MBBS MSc Sports Med

Asst Professor
Atrium Health Carolinas Rehab
Charlotte, North Carolina

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Abir Naguib, MD

Assistant professor
Rochester Regional Health
Rochester, New York

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Mary A. Moore, MD

PM&R Sports Medicine
Riverside Healthcare
Westfield, Indiana

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Altamash Raja, DO

Sports Medicine Fellow
Geisinger
Baltimore, Maryland

Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.

High resolution ultrasonography (US) facilitates visualization of peripheral nerves including individual nerve fascicles in cases of peripheral entrapment syndromes. US has become a valuable tool for diagnosis and management of these patients as it helps depicting changes in the nerve's shape and echo-texture, and may reveal causes of nerve compression when structural abnormalities or space-occupying lesions are present.

In this hands-on session, participants will learn about sonographic evaluation of common upper extremity nerve entrapment syndromes. This includes anatomic nerve locations, common entrapment sites, and common morphological changes of entrapment neuropathies. Participants will also learn about ultrasound guided interventional techniques that maybe helpful in management of these conditions. Physiatrists routinely care for patients with potential compression neuropathies commonly involving the upper extremity. In addition to the utility of electrodiagnostic tests in these conditions, US has become a valuable diagnostic tool for morphological evaluation of upper extremity nerves and assessing for possible etiologies such as structural abnormalities or space-occupying lesions are present. The real time nature of US enables Physiatrists to perform dynamic assessments to assess for positional entrapments, and can also facilitate guided therapeutic interventions. Participants will develop skills in diagnostic and interventional US as applicable to common entrapment neuropathies in the upper extremity. The session will focus on scanning upper extremity nerve structures highlighting common entrapment sites of the nerve by sonographic evaluation and clinical presentation, describing common morphological changes of nerve entrapment neuropathy. The will be followed by 20-30 minutes of interactive, hands-on participants practice.

Learning Objectives:

Gain skills in sonographic evaluation of upper extremity anatomic nerve locations and common entrapment sites.
Recognize common morphological changes of entrapment neuropathies of the upper extremity.
Learn about ultrasound guided interventional techniques that maybe helpful in management of common entrapment neuropathies of the upper extremity.