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Title: Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety

Abstract

ObjectivesTo 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.MethodsConsecutive 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.Results129 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.ConclusionsUltrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms.

Authors:
;  [1];  [2];  [3];  [1]
  1. Imagerie Médicale Paris Centre Bachaumont-clinique Blomet RamsayGDS, Department of Interventional Radiology (France)
  2. Gustave Roussy Institute (France)
  3. Association pour la recherche en chirurgie de l’épaule et du coude, clinique Drouot (France)
Publication Date:
OSTI Identifier:
22645240
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 4; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2016 The Author(s); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; LIGAMENTS; NERVES; NMR IMAGING; PATIENTS; SAFETY; SURGERY; SYMPTOMS; VASCULAR DISEASES

Citation Formats

Petrover, David, E-mail: dpetrover@yahoo.fr, Silvera, Jonathan, E-mail: silvera.jonathan@gmail.com, Baere, Thierry De, E-mail: Debaere@igr.fr, Vigan, Marie, E-mail: marie.vigan@gmail.com, and Hakimé, Antoine, E-mail: thakime@yahoo.com. Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1545-5.
Petrover, David, E-mail: dpetrover@yahoo.fr, Silvera, Jonathan, E-mail: silvera.jonathan@gmail.com, Baere, Thierry De, E-mail: Debaere@igr.fr, Vigan, Marie, E-mail: marie.vigan@gmail.com, & Hakimé, Antoine, E-mail: thakime@yahoo.com. Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety. United States. doi:10.1007/S00270-016-1545-5.
Petrover, David, E-mail: dpetrover@yahoo.fr, Silvera, Jonathan, E-mail: silvera.jonathan@gmail.com, Baere, Thierry De, E-mail: Debaere@igr.fr, Vigan, Marie, E-mail: marie.vigan@gmail.com, and Hakimé, Antoine, E-mail: thakime@yahoo.com. Sat . "Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety". United States. doi:10.1007/S00270-016-1545-5.
@article{osti_22645240,
title = {Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety},
author = {Petrover, David, E-mail: dpetrover@yahoo.fr and Silvera, Jonathan, E-mail: silvera.jonathan@gmail.com and Baere, Thierry De, E-mail: Debaere@igr.fr and Vigan, Marie, E-mail: marie.vigan@gmail.com and Hakimé, Antoine, E-mail: thakime@yahoo.com},
abstractNote = {ObjectivesTo 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.MethodsConsecutive 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.Results129 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.ConclusionsUltrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms.},
doi = {10.1007/S00270-016-1545-5},
journal = {Cardiovascular and Interventional Radiology},
number = 4,
volume = 40,
place = {United States},
year = {Sat Apr 15 00:00:00 EDT 2017},
month = {Sat Apr 15 00:00:00 EDT 2017}
}