Sonographic Changes After Ultrasound-Guided Release of the Transverse Carpal Ligament: A Case Report.

Publication Title

PM R

Authors

Erek W Latzka, Department of Physical Medicine and Rehabilitation, Department of Sports Medicine, Swedish Rehabilitation and Performance Medicine, Swedish Medical Group, Seattle, WA
P Troy Henning, Swedish Rehabilitation and Performance Medicine, Swedish Medical Group, Seattle, Washington, USAFollow
Adam M Pourcho, Department of Physical Medicine and Rehabilitation, Department of Sports Medicine, Swedish Rehabilitation and Performance Medicine, Swedish Medical Group, Seattle, WA.Follow

Document Type

Article

Publication Date

10-1-2018

Keywords

Aged; Carpal Tunnel Syndrome; Decompression, Surgical; Follow-Up Studies; Humans; Ligaments, Articular; Male; Median Nerve; Pain Measurement; Risk Assessment; Severity of Illness Index; Surgery, Computer-Assisted; Treatment Outcome; Ultrasonography, Doppler, Color

Abstract

Carpal tunnel syndrome is the most common entrapment neuropathy, resulting in 500,000 carpal tunnel release (CTR) surgeries and a total cost of more than 2 billion dollars annually in the United States. Although initially performed via a large (3-5 cm) palmar incision, CTR techniques have continually evolved to reduce incision size, recovery times, postoperative pain, and improve cosmesis and clinical outcomes. More recently, multiple authors have reported excellent results after ultrasound-guided carpal tunnel release (USCTR) using a variety of techniques, and one prospective randomized trial reported faster recovery after USCTR compared with traditional mini-open CTR. However, there is a paucity of data with respect to changes in the median nerve after USCTR. This case report presents the functional outcomes and pre- and postprocedure ultrasound images of a patient after USCTR with 3-month follow-up. LEVEL OF EVIDENCE: V.

Clinical Institute

Orthopedics & Sports Medicine

Specialty/Research Institute

Orthopedics

Specialty/Research Institute

Rehabilitation