Chen Chien-Hua, Jaw Fu-Shan, Hu Jia-Zhen, Wu Wei-Ting, Chang Ke-Vin
Department of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Clive Chen Clinic, Taichung, Taiwan.
Heliyon. 2023 Jan 19;9(1):e13107. doi: 10.1016/j.heliyon.2023.e13107. eCollection 2023 Jan.
Minimally invasive carpal tunnel release has recently emerged as the primary surgical approach for recalcitrant carpal tunnel syndrome. A major concern related to surgical failure with this technique is the incomplete release of the flexor retinaculum.
We developed a technique using dynamic ultrasound for evaluating the adequacy of median nerve decompression following minimally invasive carpal tunnel release. This novel imaging method was applied to two patients who showed significant symptom relief after the intervention. This case study also provides details of the dynamic ultrasound protocol and highlights the advantages of this technique.
Dynamic ultrasound imaging can be used to confirm the completeness of carpal tunnel decompression A large-scale prospective trial should be conducted to validate whether additional dynamic ultrasound examination can improve the outcome of minimally invasive carpal tunnel release.
微创腕管松解术最近已成为治疗顽固性腕管综合征的主要手术方法。与该技术手术失败相关的一个主要问题是屈肌支持带松解不完全。
我们开发了一种使用动态超声评估微创腕管松解术后正中神经减压是否充分的技术。这种新颖的成像方法应用于两名干预后症状明显缓解的患者。本病例研究还提供了动态超声检查方案的详细信息，并突出了该技术的优势。
动态超声成像可用于确认腕管减压的完整性。应进行大规模前瞻性试验，以验证额外的动态超声检查是否能改善微创腕管松解术的疗效。
