Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment
Carpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which comp...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1291702/full |
| _version_ | 1797630658211741696 |
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| author | Jianjun Sun Xiaodi Zou Qinyun Fu Jianhua Wu Shuaishuai Yuan Ahmad Alhaskawi Yanzhao Dong Haiying Zhou Sahar Ahmed Abdalbary Hui Lu |
| author_facet | Jianjun Sun Xiaodi Zou Qinyun Fu Jianhua Wu Shuaishuai Yuan Ahmad Alhaskawi Yanzhao Dong Haiying Zhou Sahar Ahmed Abdalbary Hui Lu |
| author_sort | Jianjun Sun |
| collection | DOAJ |
| description | Carpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which compresses median nerve. In our case, we demonstrate an ultrasound-guided needle knife technique to treat CTS. We guided the patient to a supine position on the examination table. The skin of the wrist area was sterilized for the procedure. After the skin was dry, we positioned sterile drapes, located the median nerve and compression, and marked the compression point. Local anesthesia was administered. An ultrasound-guided needle knife was inserted. The needle knife was advanced under ultrasound guidance. The carpal ligament was incised. A gradual release of pressure on the median nerve was observed on the ultrasound monitor. After treatment, the patient’s finger sensation and motor function can significantly improve, and pain symptoms are markedly reduced, this case demonstrates that small needle-knife treatment can serve as a safe and effective minimally invasive therapeutic method. |
| first_indexed | 2024-03-11T11:11:18Z |
| format | Article |
| id | doaj.art-2d21b2d49a7344b99219225497866da1 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-11T11:11:18Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-2d21b2d49a7344b99219225497866da12023-11-11T21:48:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-11-011410.3389/fneur.2023.12917021291702Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatmentJianjun Sun0Xiaodi Zou1Qinyun Fu2Jianhua Wu3Shuaishuai Yuan4Ahmad Alhaskawi5Yanzhao Dong6Haiying Zhou7Sahar Ahmed Abdalbary8Hui Lu9Department of Anesthesiology, Pujiang County Hospital of Traditional Chinese Medicine, Jinhua, ChinaSecond Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, ChinaDepartment of Anesthesiology, Pujiang County Hospital of Traditional Chinese Medicine, Jinhua, ChinaDepartment of Anesthesiology, Pujiang County Hospital of Traditional Chinese Medicine, Jinhua, ChinaDepartment of Anesthesiology, Pujiang County Hospital of Traditional Chinese Medicine, Jinhua, ChinaFirst Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaFirst Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaFirst Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaNahda University, Beni Suef, Beni Suef, EgyptFirst Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaCarpal tunnel syndrome (CTS) is a common peripheral neuropathy of the hand, mainly manifesting as sensory disturbances, motor dysfunctions, and pain in the fingers and hand. The pathogenesis of the disease is associated with fibrosis of the transverse carpal ligament in the carpal tunnel, which compresses median nerve. In our case, we demonstrate an ultrasound-guided needle knife technique to treat CTS. We guided the patient to a supine position on the examination table. The skin of the wrist area was sterilized for the procedure. After the skin was dry, we positioned sterile drapes, located the median nerve and compression, and marked the compression point. Local anesthesia was administered. An ultrasound-guided needle knife was inserted. The needle knife was advanced under ultrasound guidance. The carpal ligament was incised. A gradual release of pressure on the median nerve was observed on the ultrasound monitor. After treatment, the patient’s finger sensation and motor function can significantly improve, and pain symptoms are markedly reduced, this case demonstrates that small needle-knife treatment can serve as a safe and effective minimally invasive therapeutic method.https://www.frontiersin.org/articles/10.3389/fneur.2023.1291702/fullminimally invasive surgeryultrasound-guidedneedle knife techniquecarpal tunnel syndromecarpal tunnel release |
| spellingShingle | Jianjun Sun Xiaodi Zou Qinyun Fu Jianhua Wu Shuaishuai Yuan Ahmad Alhaskawi Yanzhao Dong Haiying Zhou Sahar Ahmed Abdalbary Hui Lu Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment Frontiers in Neurology minimally invasive surgery ultrasound-guided needle knife technique carpal tunnel syndrome carpal tunnel release |
| title | Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| title_full | Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| title_fullStr | Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| title_full_unstemmed | Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| title_short | Case report: Ultrasound-guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| title_sort | case report ultrasound guided needle knife technique for carpal ligament release in carpal tunnel syndrome treatment |
| topic | minimally invasive surgery ultrasound-guided needle knife technique carpal tunnel syndrome carpal tunnel release |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1291702/full |
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