000126810 001__ 126810
000126810 005__ 20241125101141.0
000126810 0247_ $$2doi$$a10.3390/healthcare11111603
000126810 0248_ $$2sideral$$a134215
000126810 037__ $$aART-2023-134215
000126810 041__ $$aeng
000126810 100__ $$aLópez-de-Celis, Carlos
000126810 245__ $$aPrecision of ultrasound-guided versus anatomical palpation-guided needle placement of the ulnar nerve at the cubital tunnel: a cadaveric study
000126810 260__ $$c2023
000126810 5060_ $$aAccess copy available to the general public$$fUnrestricted
000126810 5203_ $$aPercutaneous electrical stimulation has been performed for years with only the assistance of anatomical landmarks. The development of real-time ultrasonography guidance has improved the precision and safety of these percutaneous interventions. Despite ultrasound-guided and palpation-guided procedures being performed routinely for targeting nerve tissues in the upper extremity, the precision and safety of these techniques are unknown. The aim of this cadaveric study was to determine and compare the precision and safety of ultrasound-guided versus palpation-guided needling procedure with and without the handpiece of the ulnar nerve on a cadaveric model. Five physical therapists performed a series of 20 needle insertion tasks each (n = 100), 10 palpation-guided (n = 50) and 10 ultrasound-guided (n = 50) on cryopreserved specimens. The purpose of the procedure was to place the needle in proximity to the ulnar nerve at the cubital tunnel. The distance to target, time performance, accurate rate, number of passes, and unintentional puncture of surrounding structures were compared. The ultrasound-guided procedure was associated with higher accuracy (66% vs. 96%), lower distance from needle to the target (0.48 ± 1.37 vs. 2.01 ± 2.41 mm), and a lower frequency of perineurium puncture (0% vs. 20%) when compared with the palpation-guided procedure. However, the ultrasound-guided procedure required more time (38.33 ± 23.19 vs. 24.57 ± 17.84 s) than the palpation-guided procedure (all, p < 0.001). Our results support the assumption that ultrasound guidance improves the accuracy of needling procedures on the ulnar nerve at the cubital tunnel when compared with palpation guidance.
000126810 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000126810 590__ $$a2.4$$b2023
000126810 592__ $$a0.606$$b2023
000126810 591__ $$aHEALTH POLICY & SERVICES$$b49 / 118 = 0.415$$c2023$$dQ2$$eT2
000126810 593__ $$aHealth Policy$$c2023$$dQ2
000126810 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b73 / 174 = 0.42$$c2023$$dQ2$$eT2
000126810 593__ $$aLeadership and Management$$c2023$$dQ2
000126810 593__ $$aHealth Informatics$$c2023$$dQ3
000126810 593__ $$aHealth Information Management$$c2023$$dQ3
000126810 594__ $$a3.5$$b2023
000126810 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000126810 700__ $$aFernández-de-Las-Peñas, César
000126810 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000126810 700__ $$0(orcid)0000-0003-1292-3163$$aAlbarova-Corral, Isabel$$uUniversidad de Zaragoza
000126810 700__ $$aArias-Buría, José L.
000126810 700__ $$aPérez-Bellmunt, Albert
000126810 700__ $$aRodríguez-Sanz, Jacobo
000126810 700__ $$aGonzález-Rueda, Vanessa
000126810 700__ $$aBorella-Andrés, Sergio
000126810 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000126810 773__ $$g11, 11 (2023), 1603 [10 pp]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000126810 8564_ $$s1330203$$uhttps://zaguan.unizar.es/record/126810/files/texto_completo.pdf$$yVersión publicada
000126810 8564_ $$s2765950$$uhttps://zaguan.unizar.es/record/126810/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000126810 909CO $$ooai:zaguan.unizar.es:126810$$particulos$$pdriver
000126810 951__ $$a2024-11-22-12:02:47
000126810 980__ $$aARTICLE