Minimally Invasive Ultrasound-guided Thread Carpal Tunnel Release: a Video Demonstration Protocol

Overview

Journal J Ultrasound

Publisher Springer

Specialty Radiology

Date 2025 Mar 6

PMID 40048109

Authors

Nuno Ferreira-Silva

Tomas Ribeiro-Da-Silva

Lia Lucas-Neto

Keith Aziz

Wesley Troyer

Raul A Rosario-Concepcion

Affiliations

Soon will be listed here.

Abstract

Carpal tunnel syndrome is the most common compressive peripheral neuropathy, often requiring surgical treatment. Recently, ultrasound-guided thread carpal tunnel release has become an attractive minimally invasive alternative to the traditional surgical approaches. This incision-less technique utilizes an abrasive thread and a Tuohy needle to achieve division of the transverse carpal ligament while sparing adjacent soft tissue to decrease post-procedural pain and enhance recovery. Although several step-by-step descriptions of the technique have been published in recent years, no video demonstration of the procedure and the pre-procedure scanning needed for surgical planning exists. This paper aims to provide a video-based guide to ultrasound-guided thread carpal tunnel release and propose a pre-procedure scanning protocol for physicians considering implementing this procedure into their practice.

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