An Incision-less Ultrasound-guided Carpal Tunnel Release Technique.
Tech Hand Up Extrem Surg
; 25(1): 14-19, 2020 Jun 30.
Article
in En
| MEDLINE
| ID: mdl-32618934
ABSTRACT
Ultrasound guidance in the operative treatment of carpal tunnel syndrome is gaining in popularity as it noninvasively provides the surgeon with a real-time high-resolution overview of anatomic structures. A new incision-less approach to achieve a division of the transverse carpal ligament has been developed that combines ultrasound guidance with cannulated needles and a thread. Conceptually, an abrasive thread is looped percutaneously around the ligament while avoiding injury to neurovascular structures, the palmar aponeurosis, and skin. The thread is positioned using 2 puncture sites and a contoured Tuohy needle under ultrasound visualization. With a minimal injury to surrounding structures, this approach is designed to minimize recovery time and decrease pillar pain. This article will provide a step-by-step overview of the technique and includes a review of clinical outcomes published so far.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Wrist Joint
/
Carpal Tunnel Syndrome
/
Ultrasonography, Interventional
Type of study:
Guideline
Limits:
Humans
Language:
En
Journal:
Tech Hand Up Extrem Surg
Year:
2020
Document type:
Article