Title |
Percutaneous Ultrasound-Guided Carpal Tunnel Release: Study Upon Clinical Efficacy and Safety
|
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Published in |
CardioVascular and Interventional Radiology, December 2016
|
DOI | 10.1007/s00270-016-1545-5 |
Pubmed ID | |
Authors |
David Petrover, Jonathan Silvera, Thierry De Baere, Marie Vigan, Antoine Hakimé |
Abstract |
To evaluate the feasibility and 6 months clinical result of sectioning of the transverse carpal ligament (TCL) and median nerve decompression after ultra-minimally invasive, ultrasound-guided percutaneous carpal tunnel release (PCTR) surgery. Consecutive patients with carpal tunnel syndrome were enrolled in this descriptive, open-label study. The procedure was performed in the interventional radiology room. Magnetic resonance imaging was performed at baseline and 1 month. The Boston Carpal Tunnel Questionnaire was administered at baseline, 1, and 6 months. 129 patients were enrolled. Significant decreases in mean symptom severity scores (3.3 ± 0.7 at baseline, 1.7 ± 0.4 at Month 1, 1.3 ± 0.3 at Month 6) and mean functional status scores (2.6 ± 1.1 at baseline, 1.6 ± 0.4 at Month 1, 1.3 ± 0.5 at Month 6) were noted. Magnetic resonance imaging showed a complete section of all TCL and nerve decompression in 100% of patients. No complications were identified. Ultrasound-guided PCTR was used successfully to section the TCL, decompress the median nerve, and reduce self-reported symptoms. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 6 | 19% |
Saudi Arabia | 5 | 16% |
United Kingdom | 5 | 16% |
India | 2 | 6% |
South Africa | 1 | 3% |
Brazil | 1 | 3% |
Austria | 1 | 3% |
Germany | 1 | 3% |
Spain | 1 | 3% |
Other | 0 | 0% |
Unknown | 8 | 26% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 14 | 45% |
Practitioners (doctors, other healthcare professionals) | 13 | 42% |
Scientists | 3 | 10% |
Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 70 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 16 | 23% |
Professor > Associate Professor | 7 | 10% |
Student > Master | 6 | 9% |
Student > Postgraduate | 5 | 7% |
Researcher | 5 | 7% |
Other | 10 | 14% |
Unknown | 21 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 31 | 44% |
Nursing and Health Professions | 6 | 9% |
Chemical Engineering | 1 | 1% |
Unspecified | 1 | 1% |
Philosophy | 1 | 1% |
Other | 3 | 4% |
Unknown | 27 | 39% |