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Ultrasound-guided minimally invasive cubital tunnel thread release: An experimental study.
Jengojan, Suren; Wirth, Sophia; Sorgo, Philipp; Streicher, Johannes; Gruber, Gerlinde; Moser, Veith; Kasprian, Gregor; Bodner, Gerd.
Afiliação
  • Jengojan S; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria. Electronic address: suren.jengojan@meduniwien.ac.at.
  • Wirth S; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
  • Sorgo P; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
  • Streicher J; Karl Landsteiner Private University, Krems, Austria.
  • Gruber G; Karl Landsteiner Private University, Krems, Austria.
  • Moser V; Lorenz Boehler Hospital, Department of Trauma Surgery,Vienna, Austria.
  • Kasprian G; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
  • Bodner G; Neuromuscular Imaging Center Döbling, Vienna, Austria.
Eur J Radiol ; 179: 111682, 2024 Oct.
Article em En | MEDLINE | ID: mdl-39173498
ABSTRACT

INTRODUCTION:

Cubital Tunnel Syndrome is characterized by the compression of the ulnar nerve in the cubital tunnel and can cause restrictions to the activities of daily living. Traditional treatment includes conservative methods and, in more severe cases, different types of surgery. In these cases, common side effects of surgery may limit the clinical success. A new alternative could be a minimally invasive Ultrasound-guided (US-guided) thread release of cubital tunnel retinaculum also known as the Osborne's ligament. The aim of this study was to assess the efficacy and safety of ultrasound-guided thread cubital tunnel release (TCuTR) in an anatomical specimen model.

METHODS:

In this single-center prospective experimental study, US-guided thread cubital tunnel release (TCuTR) was performed on 11 softly embalmed anatomic specimens. Subsequently, the elbows were dissected to assess the transection of Osborne's ligament and potential damage to adjacent structures.

RESULTS:

Due to calcification, one specimen was ineligible for the intervention. In all remaining ten interventions, Osborne's ligament (OL) was completely transected, without any damage to the surrounding nerves, blood vessels, tendons, or muscles.

CONCLUSION:

US-guided decompression has demonstrated a high success rate in transecting Osborne's ligament while averting damage to neighboring structures. This emerging technique appears to present an efficient and secure alternative to existing procedures.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cadáver / Ultrassonografia de Intervenção / Procedimentos Cirúrgicos Minimamente Invasivos / Descompressão Cirúrgica / Síndrome do Túnel Ulnar Limite: Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cadáver / Ultrassonografia de Intervenção / Procedimentos Cirúrgicos Minimamente Invasivos / Descompressão Cirúrgica / Síndrome do Túnel Ulnar Limite: Female / Humans / Male Idioma: En Ano de publicação: 2024 Tipo de documento: Article