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CC BY-NC-ND 4.0 · Indian J Radiol Imaging
DOI: 10.1055/s-0044-1800806
Technical Reports

Ultrasound-Guided Partial Release of Transverse Carpal Ligament in Severe Carpal Tunnel Syndrome Using a Curved Needle

Nishith Kumar 
1   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Upinderjeet Singh 
1   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Dharmendra Kumar Singh 
1   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Alfa Shamim Saifi 
1   Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
› Author Affiliations Funding None.
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Abstract

Ultrasound (US) is an excellent tool for diagnosis and management of carpal tunnel syndrome (CTS). Severe, recalcitrant CTS is an indication for complete release of the transverse carpal ligament (TCL). However, complete TCL release may be associated with postprocedural pillar pain. US-guided partial division of the TCL using a curved needle can be a safe and effective technique for reducing the tensile compression onto the median nerve while mitigating the occurrence of pillar pain.

Keywords

carpal tunnel syndrome - transverse carpal ligament - partial release

Note

The manuscript was presented as an oral paper at the 12th Annual Conference of the Musculoskeletal Society, India, at Jaipur, Rajasthan (August 16–18, 2024).




Publication History

Article published online:
11 December 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. AJR Am J Roentgenol 2021; 217 (02) 460-468
    CrossrefPubMedSearch in Google Scholar
  • 2 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
    CrossrefPubMedSearch in Google Scholar
  • 3 Kumar AA, Lawson-Smith M. Pillar pain after minimally invasive and standard open carpal tunnel release: a systematic review and meta-analysis. J Hand Surg Glob Online 2024; 6 (02) 212-221
    CrossrefPubMedSearch in Google Scholar
  • 4 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
    CrossrefPubMedSearch in Google Scholar
  • 5 Lee SH, Choi HH, Chang MC. Effect of ultrasound-guided partial release of the transverse carpal ligament with a needle in patients with refractory carpal tunnel syndrome. Pain Physician 2022; 25 (01) E141-E145
    PubMedSearch in Google Scholar