DOI: https://doi.org/10.22263/2312-4156.2025.1.62
Yu.E. Rozin
The possibilities of using ultrasound in the assessment of quantitative indicators of peripheral nerves of the lower extremities
Mogilev Regional Children’s Hospital, Mogilev, Republic of Belarus
Vestnik VGMU. 2025;24(1):62-70.
Abstract.
Objectives. To study the features of ultrasound imaging and determine the quantitative values of peripheral nerves of the lower extremities in children aged 5 to 17 years.
Material and methods. The current study included 60 children aged 5 to 17 years who underwent ultrasound examination of the peripheral nerves of the lower extremities. Depending on the age, the children were divided into two groups: group 1, 5-11 years old (n=35) and group 2, 12-17 years old (n=25). A general examination, measurement of the cross-sectional area and thickness of the examined nerves were carried out. Then, a comparative analysis of the results obtained was performed depending on age, gender and scanning area. The correlation of the cross-sectional area with body weight, height and age of children was calculated.
Results. In all cases, it was possible to visualize the nerves under study. The cross-sectional area of the studied nerves was significantly larger in the older age group (12-17 years old) in all areas of the scan, except for the peroneal nerves, where the indicators did not differ statistically. The thickness values of the sciatic and femoral nerves were also significantly higher in children in group 2. There were no bilateral differences between the parties within the groups. There was a high degree of correlation between the cross-sectional area of the sciatic nerve with body weight and height, the femoral nerve with age, body weight and height, as well as the tibial nerve with body weight.
Conclusions. The use of ultrasound imaging made it possible to determine the values of quantitative indicators of peripheral nerves of the lower extremities in children in various age groups. A significant increase in the size of the nerves under study was found with age, height and body weight of children.
Keywords: ultrasound examination, children, cross-sectional area, nerve thickness, peripheral nerves, lower extremities.
The sources of funding. The study was carried out with the financial support of the grant from the President of the Republic of Belarus for 2024.
References
1. Zabolotskiy DV, Ulrikh GE, Malashenko NS, Kulev AG. Ultrasound in the hands of the anesthesiologist - exclusive or routine? Regionarnaya Anesteziya i Lechenie Ostroi Boli. 2012;6(1):5-10. (In Russ.)
2. La Grange P, Foster P, Pretorious L. Application of thedoppler ultrasound blood flow detector in supraclavicularbrachial plexus block. British Journal of Anaesthesia. 1978 Sep;50(9):965-967. doi: http://dx.doi.org/10.1093/bja/50.9.965
3. Dzyadzko MA. Ultrasound localization of nerves and plexuses when performing regional. Regionarnaya Anesteziya i Lechenie Ostroi Boli. 2009;3(3):54-62. (In Russ.)
4. Abrahams MS, Aziz MF, Fu RF, Horn J-L. Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block. British Journal of Anaesthesia. 2009 Mar;102(3):408-417. doi: http://dx.doi.org/10.1093/bja/aen384
5. Safin RP, Pankov IO, Koryachkin VA. Role and value of ultrasonography in regional anesthesia and intensive care of critical conditions. Vestnik Ekstrennoi Meditsiny. 2017;10(2):103-108. (In Russ.)
6. Zabolotskiy DV, Koryachkin VA. The baby and regional anesthesia - why? where? and how? Regionarnaya Anesteziya i Lechenie Ostroi Boli. 2016. Т. 10, № 4. С. 243-253. (In Russ.)
7. Zabolotskiy DV, Malashenko NS, Mankov AV. Ultrasound navigation of invasive manipulations in anesthesiology. Sibirskii Meditsinskii Zhurnal. 2012;13(6):15-20. (In Russ.)
8. Bedova MA, Klimkin AV, Voytenkov VB, Skripchenko NV. Application of peripheral nerve ultrasound in the assessment of cross-sectional area in children. Nervno-myshechnye Bolezni. 2020;10(2):46-52. (In Russ.). doi: http://dx.doi.org/10.17650/2222-8721-2020-10-2-46-52
9. Danilova MG, Saltykova VG, Usenko EE. Normal echographic pattern of peripheral nerves of the lower extremities in children. Ul’trazvukovaya i Funktsional’naya Diagnostika. 2018;(2):59-74. (In Russ.). doi: http://dx.doi.org/10.24835/1607-0771-2018-2-59-74
10. Druzhinin D, Naumova Е, Nikitin S. Nerve ultrasound normal values in children and young adults. Muscle Nerve. 2019 Dec;60(6):757-761. doi: http://dx.doi.org/10.1002/mus.26715
11. Grimm AC, Schubert C, Grimm A, Stahl J-H, Küpper H, Horber V, et al. Normative observational nerve ultrasound values in school-age children and adolescents and their application to hereditary neuropathies. Frontiers in Neurology. 2020 Apr:11:303. doi: http://dx.doi.org/10.3389/fneur.2020.00303
12. Abdelnaby R, ELgenidy A, Mohamed KA, Sonbol YT, Elwshahi MM, Elnouty MM, et al. Sonographic reference values of nerve size in children: A systematic review and meta-analysis. Muscle Nerve. 2023 Mar;67(3):217-225. doi: http://dx.doi.org/10.1002/mus.27773
13. Cartwright MS, Mayans DR, Gillson NA, Griffin LP, Walker FO. Nerve cross-sectional area in extremes of age. Muscle Nerve. 2013 Jun;47(6):890-893. doi: http://dx.doi.org/10.1002/mus.23718
Submitted 16.08.2024
Accepted 11.02.2025
Information about authors:
Yury E. Rozin – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Mogilev Regional Children’s Hospital; postgraduate of the Chair of Pediatric Anesthesiology and Resuscitation, Institute for Advanced Training and Retraining of Healthcare Personnel of the educational institution “Belarusian State Medical University”, https://orcid.org/0000-0002-8194-9028, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра..
