Minimally invasive ultrasound-guided carpal tunnel launch improves long-term outcomes

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Minimally invasive ultrasound-guided carpal tunnel release improves long-term outcomes

<img src = "https://scx1.b-cdn.net/csz/news/800/2020/minimallyinv.jpg" alt = "Minimally invasive, ultrasound-guided carpal tunnel release improves long-term results" title = "The patient answered three questionnaires (rapid disabilities of arm, Shoulder and Hand (QDASH)) and two parts of the Boston Carpal Tunnel Syndrome questionnaire: Symptom Severity Scale (BCTSQ-SS) and Functional Status (BCTSQ-FS) to evaluate the affected wrist function and symptoms immediately before the procedure, 2 weeks after surgery and at least one year after surgery. Photo credit: American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR) "width =" 800 "height =" 480 "/>
The patients answered three questionnaires (Rapid Disabilities of the Arm, Shoulder and Hand (QDASH)) and two parts of the Boston Carpal Tunnel Syndrome questionnaire: Severity of Symptoms (BCTSQ-SS) and Functional Status (BCTSQ-FS) to evaluate the affected wrist function and discomfort immediately before the procedure, 2 weeks after the procedure and at least one year after the procedure. Photo credit: American Roentgen Ray Society (ARRS), American Journal of Radiology (AJR)

According to ARRS's American Journal of Roentgenology (AJR), Ultrasound Guided Carpal Tunnel Release (UGCTR) quickly improves hand function and reduces hand discomfort, making UGCTR a safe, effective, and less invasive alternative to traditional open or endoscopic surgery.

Because ultrasound guidance enables the carpal tunnel to be cleared with smaller incisions and faster recovery, five researchers at Thomas Jefferson University Hospital in Philadelphia, Pennsylvania studied the long-term effectiveness of UGCTR in improving function and discomfort in patients with carpal tunnel syndrome.

61 UGCTR procedures in 46 patients (25 women and 21 men; mean age 60.6 years) with clinically diagnosed carpal tunnel syndrome were retrospectively reviewed. All interventions were performed under local anesthesia in an outpatient radiological office with the SX-One MicroKnife® (Sonex Health).

As the first AJR author, Sarah I. Kamel stated: "Patients completed three questionnaires (Rapid Disability of Arm, Shoulder and Hand (QDASH)) and two parts of the Boston Carpal Tunnel Syndrome Questionnaire: Severity of Symptoms (BCTSQ-SS) and Functional Status Scales ( BCTSQ-FS) to assess the function and discomfort of the affected wrist immediately before the procedure, 2 weeks after the procedure and at least one year after the procedure. "

Lead researcher Sarah I. Kamel discusses her article in the American Journal of Roentgenology (AJR) on how ultrasound-guided carpal tunnel release quickly improves hand function and reduces hand discomfort, making the procedure a safe, effective, and less invasive alternative to traditional open or endoscopic procedures power surgery credit: American Roentgen Ray Society (ARRS), American Journal of Radiology (AJR)

The median values ​​before the procedure were 45.4 for QDASH, 3.2 for BCTSQ-SS and 2.5 for BCTSQ-FS. The median 2-week post-procedure scores were 22.5 for QDASH, 1.7 for BCTSQ-SS, and 1.9 for BCTSQ-FS – all decreased (p

Follow-up questionnaires were obtained for 90% (55/61) of the wrists, a median of 1.7 years after the procedure, with further declines (p

Although there were no immediate postoperative complications, the authors of this AJR article listed several modifications of response for two patients who required surgery for complications that occurred 8-10 days postoperatively (one for post-injury infection and one for post-traumatic compartment syndrome).

"The procedure now includes a more extensive pre-procedural cleaning that extends circumferentially down to the forearm before draping. A Tegaderm ™ (3M Company, St. Paul, MN) is now placed in the distal third of the forearm to provide an additional sterile barrier on the forearm In addition, two passes of the ligament transection are routinely performed in all patients in order to reduce the risk of tissue debris that may contribute to the incomplete release, "says Kamel et al. added.

Ultrasound therapy for pain after carpal tunnel surgery

More information:
Sarah I. Kamel et al., Minimally Invasive Ultrasound Guided Carpal Tunnel Release Improves Long-Term Clinical Outcomes in Carpal Tunnel Syndrome, American Journal of Roentgenology (2020). DOI: 10.2214 / AJR.20.24383

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American Roentgen Ray Society

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