MR imaging of entrapment neuropathies of the lower extremity: Part 1. the pelvis and hip

Catherine N. Petchprapa, Zehava Sadka Rosenberg, Luca Maria Sconfienza, Conrado Furtado A Cavalcanti, Renata la Rocca Vieira, Jonathan S. Zember

Research output: Contribution to journalArticle

Abstract

Entrapment neuropathies can manifest with confusing clinical features and therefore are often underrecognized and underdiagnosed at clinical examination. Historically, electrophysiologic evaluation has been considered the mainstay of diagnosis. Today, cross-sectional imaging, particularly magnetic resonance (MR) imaging and specifically MR neurography, plays an increasingly important role in the work-up of entrapment neuropathies. MR imaging is a noninvasive operator-independent technique that allows identification of the underlying cause of injury, differentiation between surgically treatable and untreatable causes, and guidance of selective diagnostic anesthetic nerve blocks. Pathologic conditions affecting the lumbosacral plexus and major motor and mixed nerves of the pelvis and hip include neuropathies of the lumbosacral plexus, femoral nerve, lateral femoral cutaneous nerve, obturator nerve, and sciatic nerve; piriformis muscle syndrome; and injury of the gluteal nerves. Diagnosis of entrapment neuropathies of the pelvis and hip with MR imaging requires familiarity with the normal MR imaging anatomy and awareness of the anatomic and pathologic factors that put peripheral nerves at risk for injury.

Original languageEnglish
Pages (from-to)983-1000
Number of pages18
JournalRadiographics
Volume30
Issue number4
DOIs
Publication statusPublished - Jul 2010

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Petchprapa, C. N., Rosenberg, Z. S., Sconfienza, L. M., Cavalcanti, C. F. A., la Rocca Vieira, R., & Zember, J. S. (2010). MR imaging of entrapment neuropathies of the lower extremity: Part 1. the pelvis and hip. Radiographics, 30(4), 983-1000. https://doi.org/10.1148/rg.304095135