Ultrasonographically guided percutaneous carpal tunnel release: Early clinical experiences and outcomes

Tai Chang Chern, Li Chieh Kuo, Chung Jung Shao, Tong Tai Wu, Kuo Chen Wu, I. Ming Jou

研究成果: Article同行評審

31 引文 斯高帕斯(Scopus)

摘要

Purpose To present the technique and results of ultrasonographically guided percutaneous carpal tunnel release (PCTR) in a consecutive series of patients with carpal tunnel syndrome (CTS). Methods We used previously defined landmarks with the "safe zones," localization, estimated size, and extent of the transverse carpal ligament (TCL) for this prospective clinical study of 91 consecutive cases of carpal tunnel release treated with this technique. The follow-up consisted of 4 time points (1 week and 2, 6, and 12 months) and a final evaluation at an average of 22.5 months. Results The sensory disturbances disappeared in 76.8%, 93.4%, 100%, and 100% of the patients at 1 week and 2, 6, and 12 months postoperatively, respectively. Moderate pain was experienced in 24.2% of patients within 1 week, in 6.6% of patients within 2 months, and in 1.1% of patients within 12 months after the operation. In the final evaluation, 2 hands were graded as unsatisfactory: one hand had moderate wrist pain without sensory disturbance, and one hand had a recurrence 14 months after the operation. There were no intraoperative or postoperative complications. Conclusions Ultrasonographically assisted PCTR is a safe and effective procedure, but it is technically demanding and requires substantial training to be proficient in its use. Level of Evidence Level IV, therapeutic case series.

原文English
頁(從 - 到)2400-2410
頁數11
期刊Arthroscopy - Journal of Arthroscopic and Related Surgery
31
發行號12
DOIs
出版狀態Published - 2015 12月 1

All Science Journal Classification (ASJC) codes

  • 骨科和運動醫學

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