Abstract

Over the last few years, more papers were published related to the usefulness of sciatic nerve ultrasound elastography in clinical practice. Ultrasound elastography is a diagnostic method, to measure elasticity and strain in tissues and organs. The aim of this review was to highlight the usefulness of sciatic nerve ultrasound elastography in clinical practice, strictly compared with electromyography and MRI findings. Sonoelastographic evaluation was performed predominantly in patients with deep gluteal syndrome (DGS).

Highlights

  • Ultrasound elastography is a diagnostic method, to measure elasticity and strain in tissues and organs

  • The first announcement was based on strain elastography features [8,9], later acoustic force impulse (ARFI) data were involved [10,11], and at last, the experiences were surrounded with shear wave elastography

  • The ultrasound equipment upgraded with shear wave elastography gave a new opportunity [16]

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Summary

Introduction

Ultrasound elastography is a diagnostic method, to measure elasticity and strain in tissues and organs. The aim of this review was to highlight the usefulness of sciatic nerve ultrasound elastography in clinical practice. Different changes affect the sciatic nerves through various diseases and conditions. The impingement, the pressure of the surrounding structures, the damage of the nerve sheath and altered nerve structure, influence the nerve resistances. It can be effectively ascertained by ultrasound elastography. In the last few years, there were more papers about sciatic nerve elastography with controversial messages. The clinical decision making depends on neurological examination, electromyography (EMG), and very often on pelvic and lumbar MRI [2,6]. Authors considered ultrasound elastography techniques in clinical decision making, strictly compared with MRI findings. The first announcement was based on strain elastography features [8,9], later acoustic force impulse (ARFI) data were involved [10,11], and at last, the experiences were surrounded with shear wave elastography

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