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Learning Center

Learning Center

Session Name: Learning Centers

Pod 2 - Diagnostic and Interventional ultrasonography for common entrapment neuropathies of the upper extremity

Thursday, November 16, 2023
5:15 PM – 6:45 PM CT
Location: Learning Center in the Pavilion
In-Person

    Session Director(s)

  • Mohammed Emam, MD

    Assistant Professor
    Johns Hopkins University
    Towson, Maryland

    Disclosure(s): No financial relationships to disclose

    • Faculty(s)

  • Alexis Coslick, DO

    Assistant Professor
    Johns Hopkins University School of Medicine
    Columbia, Maryland

    No financial relationships to disclose.

  • Altamash Raja, DO

    Assistant Professor
    Rowan-Virtua School of Osteopathic Medicine
    Sewell, New Jersey

    No financial relationships to disclose.

  • Derek Ho, DO (he/him/his)

    Assistant Professor
    Montefiore Department of Physical Medicine and Rehabilitation
    Astoria, New York

    No financial relationships to disclose.

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 interventional techniques that maybe helpful in management.

Why is this lab needed? : Physiatrists routinely care for patients with potential compression neuropathies commonly involving the upper extremity. In addition to the utility of electrodiagnostic tests, 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 to improve patient-care outcome. Participants will develop skills in diagnostic and interventional US as applicable to common entrapment neuropathies in the upper extremity. Hands-on training will be faculty guided.

Lab Outline/Format:: After a brief presentation, participants will be able to rotate through four different stations that will provide faculty demonstration, hands-on practice to evaluate common entrapment neuropathies of the upper extremity and interventional techniques to treat these conditions.

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.