Published in:
01-12-2013
Percutaneous ultrasound-guided MANOS carpal tunnel release technique
Author:
Robert E. Markison
Published in:
HAND
|
Issue 4/2013
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Abstract
Ultrasound (US) is used with a minimally invasive cutting device to perform carpal tunnel release with a 3 mm wrist incision. US localizes tendons, arteries, and median nerve for safe introduction of the device into the wrist. The device is inserted in a blunt configuration under the flexor retinaculum, and a cutting wire is deployed that advances a 0.9-mm needle in the palm. The surgeon releases the flexor retinaculum from the inside out through the two skin punctures. Flexor retinaculum release is confirmed with US.