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Peripheral Nerve Ultrasound-guided Intervention: From the Basics to Sonosurgery
Hannes Gruber1, Thomas Le Corroller2,3, Elisabeth Skalla-Oberherber1
1Department of Radiology, Medical University Innsbruck, Innsbruck, Austria.
Seminars in Musculoskeletal Radiology
|February 20, 2026
Summary
Ultrasound-guided nerve interventions offer minimally invasive treatments for entrapment neuropathies, like carpal tunnel syndrome. This technique, known as sonosurgery, is a reliable alternative to traditional surgical methods.
Area of Science:
- Neurology
- Medical Imaging
- Interventional Sonography
Background:
- Peripheral nerve disorders, including entrapment neuropathies, often require intervention.
- Traditional surgical approaches can be invasive and carry risks.
- Ultrasound technology has advanced, enabling new diagnostic and therapeutic applications.
Purpose of the Study:
- To review the historical development of ultrasound-guided peripheral nerve interventions.
- To highlight the evolution towards sonosurgery.
- To discuss future applications of this minimally invasive technique.
Main Methods:
- Literature review of ultrasound-guided peripheral nerve interventions.
- Analysis of historical progression and current status of sonosurgery.
- Exploration of potential future uses based on technological advancements.
Main Results:
- Ultrasound-guided interventions provide effective, minimally invasive treatment for neuropathies.
- Sonosurgery is a validated and reliable alternative to open and endoscopic surgery.
- Significant success has been observed in treating conditions like carpal tunnel syndrome.
Conclusions:
- Ultrasound-guided peripheral nerve intervention, or sonosurgery, represents a significant advancement in treating nerve entrapment.
- This minimally invasive approach offers a promising alternative to surgery.
- Further research and development hold potential for expanded applications in nerve treatment.
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