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Ultrasonography of the brachial plexus, normal appearance and practical applications.
[thoracic outlet syndrome]
Ultrasound
examination
of
the
brachial
plexus
,
although
at
first
sight
difficult
,
is
perfectly
feasible
with
fairly
rapid
practical
and
theoretical
training
.
The
roots
are
accurately
identified
due
to
the
shape
(
a
single
tubercle
)
of
the
transverse
process
of
C
7
in
the
paravertebral
space
,
and
the
superficial
position
of
C
5
in
the
interscalene
groove
.
The
téléphérique
technique
allows
the
roots
,
trunks
and
cords
to
be
followed
easily
into
the
supraclavicular
fossa
.
In
just
a
few
years
,
ultrasound
imaging
of
the
plexus
has
become
a
routine
anesthesia
examination
for
guiding
nerve
blocks
.
In
trained
hands
,
it
also
provides
information
in
thoracic
outlet
syndromes
,
traumatic
conditions
(
particularly
for
postganglionic
lesions
)
and
tumoral
diseases
.
Even
if
MRI
remains
the
standard
examination
in
these
indications
,
ultrasound
,
with
its
higher
definition
and
dynamic
character
,
is
an
excellent
additional
method
which
is
still
under-exploited
.
Diseases
Validation
Diseases presenting
"traumatic conditions"
symptom
thoracic outlet syndrome
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