Sonographically guided percutaneous carpal tunnel release: An anatomic and cadaveric study

Norman M. Rowe, Joseph Michaels V, Hooman Soltanian, Michael Dobryansky, Clayton A. Peimer, Geoffrey C. Gurtner, Douglas M. Rothkopf

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)52-56
Number of pages5
JournalAnnals of Plastic Surgery
Volume55
Issue number1
DOIs
Publication statusPublished - Jul 1 2005
Externally publishedYes

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Keywords

  • Carpal tunnel syndrome
  • Doppler
  • Hand
  • Minimally invasive
  • Surgical procedures
  • Ultrasonography

ASJC Scopus subject areas

  • Surgery

Cite this

Rowe, N. M., Michaels V, J., Soltanian, H., Dobryansky, M., Peimer, C. A., Gurtner, G. C., & Rothkopf, D. M. (2005). Sonographically guided percutaneous carpal tunnel release: An anatomic and cadaveric study. Annals of Plastic Surgery, 55(1), 52-56. https://doi.org/10.1097/01.sap.0000168281.77528.02