TY - JOUR
T1 - Percutaneous Ultrasound-Guided Carpal Tunnel Release
T2 - Study Upon Clinical Efficacy and Safety
AU - Petrover, David
AU - Silvera, Jonathan
AU - De Baere, Thierry
AU - Vigan, Marie
AU - Hakimé, Antoine
N1 - Publisher Copyright:
© 2016, The Author(s).
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Objectives: To evaluate the feasibility and 6 months clinical result of sectioning of the transverse carpal ligament (TCL) and median nerve decompression after ultra-minimally invasive, ultrasound-guided percutaneous carpal tunnel release (PCTR) surgery. Methods: Consecutive patients with carpal tunnel syndrome were enrolled in this descriptive, open-label study. The procedure was performed in the interventional radiology room. Magnetic resonance imaging was performed at baseline and 1 month. The Boston Carpal Tunnel Questionnaire was administered at baseline, 1, and 6 months. Results: 129 patients were enrolled. Significant decreases in mean symptom severity scores (3.3 ± 0.7 at baseline, 1.7 ± 0.4 at Month 1, 1.3 ± 0.3 at Month 6) and mean functional status scores (2.6 ± 1.1 at baseline, 1.6 ± 0.4 at Month 1, 1.3 ± 0.5 at Month 6) were noted. Magnetic resonance imaging showed a complete section of all TCL and nerve decompression in 100% of patients. No complications were identified. Conclusions: Ultrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms.
AB - Objectives: To evaluate the feasibility and 6 months clinical result of sectioning of the transverse carpal ligament (TCL) and median nerve decompression after ultra-minimally invasive, ultrasound-guided percutaneous carpal tunnel release (PCTR) surgery. Methods: Consecutive patients with carpal tunnel syndrome were enrolled in this descriptive, open-label study. The procedure was performed in the interventional radiology room. Magnetic resonance imaging was performed at baseline and 1 month. The Boston Carpal Tunnel Questionnaire was administered at baseline, 1, and 6 months. Results: 129 patients were enrolled. Significant decreases in mean symptom severity scores (3.3 ± 0.7 at baseline, 1.7 ± 0.4 at Month 1, 1.3 ± 0.3 at Month 6) and mean functional status scores (2.6 ± 1.1 at baseline, 1.6 ± 0.4 at Month 1, 1.3 ± 0.5 at Month 6) were noted. Magnetic resonance imaging showed a complete section of all TCL and nerve decompression in 100% of patients. No complications were identified. Conclusions: Ultrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms.
KW - Carpal tunnel syndrome
KW - Interventional ultrasound
KW - Magnetic resonance imaging
KW - Minimally invasive surgical procedures
KW - Surveys and questionnaires
UR - http://www.scopus.com/inward/record.url?scp=85007496748&partnerID=8YFLogxK
U2 - 10.1007/s00270-016-1545-5
DO - 10.1007/s00270-016-1545-5
M3 - Article
C2 - 28028577
AN - SCOPUS:85007496748
SN - 0174-1551
VL - 40
SP - 568
EP - 575
JO - CardioVascular and Interventional Radiology
JF - CardioVascular and Interventional Radiology
IS - 4
ER -