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CC BY-NC-ND 4.0 · Indian J Radiol Imaging
DOI: 10.1055/s-0044-1786179
Technical Report

USG-Guided Percutaneous Thread Carpal Tunnel Release

Nishith Kumar
1   Department of Radiology, Vardhaman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
,
Alfa Shamim Saifi
1   Department of Radiology, Vardhaman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
,
Upinderjeet Singh
1   Department of Radiology, Vardhaman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
,
Dharmendra Kumar Singh 
1   Department of Radiology, Vardhaman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi, India
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Abstract

Ultrasonography (USG) is utilized for the diagnostic and interventional management of patients with carpal tunnel syndrome (CTS). The management of patients with severe and/or refractory CTS includes the surgical (open/endoscopic) release of transverse carpal ligament. With the advancements in the resolution of USG, the release of transverse carpal ligament can be done safely with the help of transecting/cutting devices. We discuss the technical report on the principle of percutaneous thread carpal tunnel release with the help of surgical grade thread.

Keywords

carpal tunnel - carpal tunnel release - carpal tunnel syndrome


Publication History

Article published online:
25 April 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Kamel SI, Freid B, Pomeranz C, Halpern EJ, Nazarian LN. Minimally invasive ultrasound-guided carpal tunnel release improves long-term clinical outcomes in carpal tunnel syndrome. Am J Roentgenol 2021; 217 (02) 460-468
    CrossrefPubMedGoogle Scholar
  • 2 Kang BH, Woo SR, Park HJ. et al. Ultrasonographic assessment of the safe zone for carpal tunnel intervention: a comparison between healthy individuals and patients with carpal tunnel syndrome. Ann Rehabil Med 2022; 46 (06) 284-291
    CrossrefPubMedGoogle Scholar
  • 3 Rojo-Manaute JM, Capa-Grasa A, Chana-Rodríguez F. et al. Ultra-minimally invasive ultrasound-guided carpal tunnel release: a randomized clinical trial. J Ultrasound Med 2016; 35 (06) 1149-1157
    CrossrefPubMedGoogle Scholar
  • 4 Guo D, Tang Y, Ji Y, Sun T, Guo J, Guo D. A non-scalpel technique for minimally invasive surgery: percutaneously looped thread transection of the transverse carpal ligament. Hand (N Y) 2015; 10 (01) 40-48
    CrossrefPubMedGoogle Scholar