Superior cluneal nerve neuropathy: unsolved issues of radiodiagnostics
https://doi.org/10.51523/2708-6011.2021-18-2-2
Abstract
Objective: to systematize and analyze data on the anatomical and morphological characteristics of the superior cluneal nerves and to consider the potential of the application of medical imaging techniques for the diagnosis of their damage.
Materials and methods. We studied original publications deposited in PubMed resources and the information portal eLIBRARY.RU which contained information on the application of imaging techniques for the diagnosis of superior cluneal nerve neuropathy.
Results. The work highlights the most important aspects relating to the potential of the application of imaging techniques in the diagnosis of superior cluneal nerve neuropathy.
Conclusion. Modern methods of radiodiagnostics make it possible to provide visualization of superior cluneal nerve neuropathy. However, the lack of reliable diagnostic criteria does not allow of trustworthy diagnosis of this pathology and, accordingly, of verification of associated low back pain cases.
About the Authors
A. M. YurkovskiyBelarus
Alexei М. Yurkovskiy, PhD (Med), Associate Professor at the Department of Internal Diseases No. 3 with the course of Radiodiagnostics
Gomel
A. S. Melnikova
Belarus
Anastasia S. Melnikova, Assistant Lecturer at the Department of Internal Diseases No. 3 with the course of Radiodiagnostics
Gomel
I. V. Nazarenko
Belarus
Irina V. Nazarenko, PhD (Med), Dean of the Faculty of Diagnostic Medicine
Gomel
E. I. Pismennikova
Belarus
Evgeniya I. Pismennikova, Assistant Lecturer at the Department of Internal Diseases No. 3 with the course of Radiodiagnostics
Gomel
References
1. Miki K, Kim K, Isu T, Matsumoto J, Kokubo R, Isobe M, Inoue T. Characteristics of low back pain due to superior cluneal nerve entrapment neuropathy. Asian Spine J. 2019;13(5):772– 778. https://doi.org/10.31616/asj.2018.0324
2. Maigne JY, Lazareth JP, Guerin Surville H, Maigne R. The lateral cutaneous branches of the dorsal rami of the thoraco-lumbar junction. Ananatomical study on 37 dissections. Surg Radiol Anatomy. 1989;11(4):289–293.
3. Kuniya H, Aota Y, Saito T, Kamiya Y, Funakoshi K, Terayama H, Itoh M. Anatomical study of superior cluneal nerve entrapment. J Neurosurg Spine. 2013;19(1):76–80. https://doi.org/10.3171/2013.4.SPINE12683
4. Kim K, Isu T, Morimoto D, Iwamoto N, Kokubo R, Mtsumoto J, Kitamura T, Sittitavornwong S, Falconer DS, Shah R, Brown N, Tubbs RS. Anatomic considerations for posterior iliac crest bone procurement. J Oral Maxillofac Surg. 2013;71(10):1777–1788. https://doi.org/10.1016/j.joms.2013.03.008
5. Loubser L, Raath RP, VanSchoor AN. Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks. Southern African. J. Anaesthesia Analgesia. 2015:21(3);77–80
6. Tubbs RS, Levin MR, Loukas M, Potts EA, Cohen-Gadol AA. Anatomy and landmarks for the superior and middle cluneal nerves: application to posterior iliac crest harvest and entrapment syndromes. J Neurosurg Spine. 2010;13(3):356–359. https://doi.org/10.3171/2010.3.SPINE09747
7. Iwanaga J, Simonds E, Patel M, Oskouian RJ, Tubbs RS. Anatomic study of superior cluneal nerves: application to low back pain and surgical approaches to lumbar vertebrae. World Neurosurg. 2018;116:766–768. https://doi.org/10.1016/j.wneu.2018.05.087
8. Zheng D, Lamer TJ. Idiopathic cluneal neuralgia successfully treated with radiofrequency nerve ablation: a case report. A Pract. 2019;12(10):352–355. https://doi.org/10.1213/XAA.0000000000000922
9. Kikuta S, Iwanaga J, Watanabe K, Tubbs RS. Revisiting the middle cluneal nerves: an anatomic study with application to pain syndromes and invasive procedures around the sacrum. World Neurosurg. 2019;127:1228– 1231. https://doi.org/10.1016/j.wneu.2019.04.109
10. Iwanaga J, Simonds E, Vetter M, Patel M, Oskouian RJ, Tubbs RS. The inferior gluteal nerve often has a cutaneous branch: a discovery with application to hip surgery and targeting gluteal pain syndromes. Clin Anat. 2018;31(6):937–941. https://doi.org/10.1002/ca.23232
11. Mihajlov AN, Yurkovskiy AM, Nazarenko IV. Algoritm luchevoj diagnostiki distroficheskih porazhenij svyazok poyasnichno-krestcovogo otdela pozvonochnika pri sindrome boli v nizhnej chasti spiny: vozmozhnosti sonografii. Health and Ecology Issues. 2018;(4):109–114. (in Russ.). https://journal.gsmu.by/jour/article/view/86
12. Iwamoto N, Isu T, Kim K, Chiba Y, Morimoto D, Matsumoto J, Isobe M. Treatment of low back pain elicited by superior cluneal nerve entrapment neuropathy after lumbar fusion surgery. Spine Surg Relat Res. 2017;1(3):152– 157. https://doi.org/10.22603/ssrr.1.2016-0027
13. Kim K, Isu T, Chiba Y, Iwamoto N, Yamazaki K, Morimoto D, Isobe M, Inoue K. Treatment of low back pain in patients with vertebral compression fractures and superior cluneal nerve entrapment neuropathies. Surg Neuro Int. 2015;6(24):619–621. https://doi.org/10.4103/2152-7806.170455
14. Iwamoto N, Isu T, Kim K, Chiba Y, Kokubo R, Morimoto D, Shirai S, Yamazaki K, Isobe M. Low back pain caused by superior cluneal nerve entrapment neuropathy in patients with Parkinson disease. World Neurosurg. 2016;87:250–254. https://doi.org/10.1016/j.wneu.2015.11.043
15. Iwanaga J, Simonds E, Schumacher M, Yilmaz E, Altafulla J, Tubbs RS. Anatomic study of the superior cluneal nerve and its related groove on the iliac crest. World Neurosurg. 2019;125:925–28. https://doi.org/10.1016/j.wneu.2019.01.210
16. Bodner G, Platzgummer H, Meng S, Brugger PC, Gruber GM, Lieba-Samal D. Successful identification and assessment of the superior cluneal nerves with high-resolution sonography. Pain Physician. 2016;19:197–202.
17. Chang V, Lin C-P, Lin C-S, Wu W-T, Karmakar MK, Özçakar L. Sonographic tracking of trunk nerves: essential for ultrasound-guided pain management and research. J Pain Res. 2017;10:79–88. https://doi.org/10.2147/JPR.S123828
18. Likhachev SA, Kushnerov AI, Chernenko NI. Ul’trazvukovye patterny porazheniya nervnykh stvolov. Moskva, RF: Meditsina; 2014;2:21–29. (in Russ.)
19. Ermis MN, Yildirim D, Durakbasa MO, Tamam C, Ermis OE. Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors. J Back Musculoskelet Rehabil. 2011;24(3):137-144. https://doi.org/10.3233/BMR-2011-0287
20. Neufeld EA, Shen PY, Nidecker AE, Runner G, Bateni C, Tse G, Chin C. MR imaging of the lumbosacral plexus: a review of techniques and pathologies. J Neuroimaging. 2015;25:691–703. https://doi.org/10.1111/jon.12253
Review
For citations:
Yurkovskiy A.M., Melnikova A.S., Nazarenko I.V., Pismennikova E.I. Superior cluneal nerve neuropathy: unsolved issues of radiodiagnostics. Health and Ecology Issues. 2021;18(2):12-18. (In Russ.) https://doi.org/10.51523/2708-6011.2021-18-2-2