Abstract
Minimally invasive techniques have become the standard of care for multiple procedures. This paper demonstrates both the surgeons' capacity to perform an accurate anatomic evaluation of the hand and forearm (n = 10) and the use of this anatomic information to accurately perform sonographically guided, percutaneous carpal tunnel release using a single-portal endoscope without direct or indirect visualization in a cadaver model (n = 6). Open dissection was then performed to confirm complete ligament transection and to evaluate the surrounding structures for injury. In all 6 cadavers, the transverse carpal ligament was transected completely without injury to any surrounding structures. With further investigation, this novel technique may offer a less invasive, office-based method for the surgical treatment of carpal tunnel syndrome that may offer patients an expedited recovery.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 52-56 |
| Number of pages | 5 |
| Journal | Annals of Plastic Surgery |
| Volume | 55 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 1 2005 |
| Externally published | Yes |
Fingerprint
Keywords
- Carpal tunnel syndrome
- Doppler
- Hand
- Minimally invasive
- Surgical procedures
- Ultrasonography
ASJC Scopus subject areas
- Surgery
Cite this
Sonographically guided percutaneous carpal tunnel release : An anatomic and cadaveric study. / Rowe, Norman M.; Michaels V, Joseph; Soltanian, Hooman; Dobryansky, Michael; Peimer, Clayton A.; Gurtner, Geoffrey C.; Rothkopf, Douglas M.
In: Annals of Plastic Surgery, Vol. 55, No. 1, 01.07.2005, p. 52-56.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sonographically guided percutaneous carpal tunnel release
T2 - An anatomic and cadaveric study
AU - Rowe, Norman M.
AU - Michaels V, Joseph
AU - Soltanian, Hooman
AU - Dobryansky, Michael
AU - Peimer, Clayton A.
AU - Gurtner, Geoffrey C.
AU - Rothkopf, Douglas M.
PY - 2005/7/1
Y1 - 2005/7/1
N2 - Minimally invasive techniques have become the standard of care for multiple procedures. This paper demonstrates both the surgeons' capacity to perform an accurate anatomic evaluation of the hand and forearm (n = 10) and the use of this anatomic information to accurately perform sonographically guided, percutaneous carpal tunnel release using a single-portal endoscope without direct or indirect visualization in a cadaver model (n = 6). Open dissection was then performed to confirm complete ligament transection and to evaluate the surrounding structures for injury. In all 6 cadavers, the transverse carpal ligament was transected completely without injury to any surrounding structures. With further investigation, this novel technique may offer a less invasive, office-based method for the surgical treatment of carpal tunnel syndrome that may offer patients an expedited recovery.
AB - Minimally invasive techniques have become the standard of care for multiple procedures. This paper demonstrates both the surgeons' capacity to perform an accurate anatomic evaluation of the hand and forearm (n = 10) and the use of this anatomic information to accurately perform sonographically guided, percutaneous carpal tunnel release using a single-portal endoscope without direct or indirect visualization in a cadaver model (n = 6). Open dissection was then performed to confirm complete ligament transection and to evaluate the surrounding structures for injury. In all 6 cadavers, the transverse carpal ligament was transected completely without injury to any surrounding structures. With further investigation, this novel technique may offer a less invasive, office-based method for the surgical treatment of carpal tunnel syndrome that may offer patients an expedited recovery.
KW - Carpal tunnel syndrome
KW - Doppler
KW - Hand
KW - Minimally invasive
KW - Surgical procedures
KW - Ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=21244465215&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=21244465215&partnerID=8YFLogxK
U2 - 10.1097/01.sap.0000168281.77528.02
DO - 10.1097/01.sap.0000168281.77528.02
M3 - Article
C2 - 15985791
AN - SCOPUS:21244465215
VL - 55
SP - 52
EP - 56
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 1
ER -