Ann Rehabil Med.  2015 Feb;39(1):47-51. 10.5535/arm.2015.39.1.47.

Ultrasound-Guided Lateral Femoral Cutaneous Nerve Conduction Study

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Seoul, Korea. snamyang@korea.ac.kr

Abstract


OBJECTIVE
To verify the utility of the lateral femoral cutaneous nerve (LFCN) ultrasound-guided conduction technique compared to that of the conventional nerve conduction technique.
METHODS
Fifty-eight legs of 29 healthy participants (18 males and 11 females; mean age, 42.7+/-14.9 years) were recruited. The conventional technique was performed bilaterally. The LFCN was localized by ultrasound. Cross-sectional area (CSA) of the LFCN and the distance between the anterior superior iliac spine (ASIS) and the LFCN was measured. The nerve conduction study was repeated with the corrected cathode location. Sensory nerve action potential (SNAP) amplitudes of the LFCN were recorded and compared between the ultrasound-guided and conventional techniques.
RESULTS
Mean body mass index of the participants was 23.7+/-3.5 kg/m2, CSA was 4.2+/-1.9 mm2, and the distance between the ASIS and LFCN was 5.6+/-1.7 mm. The mean amplitude values were 6.07+/-0.52 microV and 6.66+/-0.54 microV using the conventional and ultrasound-guided techniques, respectively. The SNAP amplitude of the LFCN using the ultrasound-guided technique was significantly larger than that recorded using the conventional technique.
CONCLUSION
Correcting the stimulation position using the ultrasound-guided technique helped obtain increased SNAP amplitude.

Keyword

Ultrasound-guided; Nerve conduction study; Lateral femoral cutaneous nerve; Ultrasonography; Lumbosacral plexus
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