Ultrasound-Guided Nerve Hydrodissection: What is it? A Review of the Literature

Nerve hydrodissection is a technique used when treating peripheral nerve entrapments. It involves using an anesthetic or solution such as saline to separate the nerve from the surrounding tissue, fascia, or adjacent structures. There are no high-level studies to determine the need or effectiveness of hydrodissection or to establish its safety. Low-level studies do demonstrate some effectiveness and safety for the technique, but further research is necessary.

[1]  C. H. Choi,et al.  Clinical Implications of Real-Time Visualized Ultrasound-Guided Injection for the Treatment of Ulnar Neuropathy at the Elbow: A Pilot Study , 2015, Annals of rehabilitation medicine.

[2]  M. O’Connor,et al.  Infrapatellar Saphenous Neuralgia After TKA Can Be Improved With Ultrasound-guided Local Treatments , 2015, Clinical orthopaedics and related research.

[3]  K. Park,et al.  Effectiveness of Ultrasound-Guided Carpal Tunnel Injection Using In-Plane Ulnar Approach , 2014, Medicine.

[4]  R. Henning,et al.  A Case of Severe Chlorite Poisoning Successfully Treated With Early Administration of Methylene Blue, Renal Replacement Therapy, and Red Blood Cell Transfusion , 2014, Medicine.

[5]  Jae Min Kim,et al.  Real-Time Visualization of Ultrasonography Guided Cubital Tunnel Injection: A Cadaveric Study , 2012, Annals of rehabilitation medicine.

[6]  M. Fischler,et al.  Ultrasound-Guided Perineural Circumferential Median Nerve Block With and Without Prior Dextrose 5% Hydrodissection: A Prospective Randomized Double-Blinded Noninferiority Trial , 2012, Anesthesia and analgesia.

[7]  K. Hara,et al.  Incidence and Effects of Unintentional Intraneural Injection During Ultrasound-Guided Subgluteal Sciatic Nerve Block , 2012, Regional Anesthesia & Pain Medicine.

[8]  A. Tagliafico,et al.  Ultrasound‐Guided Treatment of Meralgia Paresthetica (Lateral Femoral Cutaneous Neuropathy) , 2011, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[9]  Sean W. Mulvaney.  Ultrasound-Guided Percutaneous Neuroplasty of the Lateral Femoral Cutaneous Nerve for the Treatment of Meralgia Paresthetica: A Case Report and Description of a New Ultrasound-Guided Technique , 2011, Current sports medicine reports.

[10]  Spencer S. Liu,et al.  Incidence of unintentional intraneural injection and postoperative neurological complications with ultrasound‐guided interscalene and supraclavicular nerve blocks * , 2011, Anaesthesia.

[11]  G. R. Malavazzi,et al.  Visco-fracture technique for soft lens cataract removal. , 2011, Journal of cataract and refractive surgery.

[12]  Hillary E. Norton,et al.  Sonographically guided hydrodissection and corticosteroid injection for scleroderma hand , 2011, Clinical Rheumatology.

[13]  W. Rozen,et al.  Improving the subfascial dissection of perforators during deep inferior epigastric artery perforator flap harvest: the hydrodissection technique. , 2010, Plastic and reconstructive surgery.

[14]  Jay Smith,et al.  Sonographically Guided Carpal Tunnel Injections , 2008, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[15]  K. Russon,et al.  Accidental intraneural injection into the musculocutaneous nerve visualized with ultrasound. , 2007, Anesthesia and analgesia.

[16]  Richard Brull,et al.  Neurological Complications After Regional Anesthesia: Contemporary Estimates of Risk , 2007, Anesthesia and analgesia.

[17]  P. Bigeleisen.  Nerve Puncture and Apparent Intraneural Injection during Ultrasound-guided Axillary Block Does Not Invariably Result in Neurologic Injury , 2006, Anesthesiology.

[18]  E. Bokey,et al.  Hydrodissection: an easy way to dissect anatomical planes and complex adhesions. , 1997, The Australian and New Zealand journal of surgery.