Safe Zones for Percutaneous Carpal Tunnel Release

Po-Ting Wu; Tai-Chang Chern; Tung-Tai Wu; Chung-Jung Shao; Kuo-Chen Wu; Li-Chieh Kuo; I-Ming Jou

doi:10.1016/j.hcl.2021.08.008

Safe Zones for Percutaneous Carpal Tunnel Release

Hand Clin. 2022 Feb;38(1):83-90. doi: 10.1016/j.hcl.2021.08.008.

Authors

Po-Ting Wu¹, Tai-Chang Chern², Tung-Tai Wu³, Chung-Jung Shao⁴, Kuo-Chen Wu⁵, Li-Chieh Kuo⁶, I-Ming Jou⁷

Affiliations

¹ Department of Orthopedics, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan; Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No.138, Sheng Li Road, Tainan 704, Taiwan; Department of Biomedical Engineering, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan; Medical Device Innovation Center, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan.
² Tai-Chung Chern's Orthopedics Clinic, No.370, Bo Ai Road, Ping-Tong 900, Taiwan.
³ GEG Orthopedics Clinic, No. 253, Sec. 1, Dong Men Road, Tainan 701, Taiwan.
⁴ Department of Orthopedics, Tainan Municipal Hospital, No. 670, Chong De Road, Tainan 701, Taiwan.
⁵ Department of Orthopedics, Kuo's General Hospital, No.22, Sec. 2, Min Sheng Road, Tainan 700, Taiwan.
⁶ Medical Device Innovation Center, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan; Department of Occupational Therapy, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan 701, Taiwan.
⁷ Department of Orthopedics, E-Da Hospital, No. 1, Yi Da Road, Kaohsiung 824, Taiwan; School of Medicine, College of Medicine, I-Shou University, No.1, Sec. 1, Syue Cheng Road, Kaohsiung 840, Taiwan. Electronic address: ed109325@edah.org.tw.

PMID: 34802612
DOI: 10.1016/j.hcl.2021.08.008

Abstract

Carpal tunnel release (CTR) is an effective procedure used in open, endoscopic, or ultrasound-guided methods. The complications are rare but potentially devasting. Most complications come from errors related to intraoperative technique, especially in the minimally invasive approach. An understanding of the "safe zones" is essential to perform percutaneous CTR safely. This article reviews the anatomy of safe zones and the ultrasound-guided CTR (UCTR) techniques in an attempt to prevent intraoperative complications. In strict accordance with the concepts of safe zones, UCTR is an effective and reliable procedure. Substantial experience for ultrasound-guided injection and surgery is required.

Keywords: Carpal tunnel release; Carpal tunnel syndrome; Percutaneous; Safe zone; Ultrasound.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Carpal Tunnel Syndrome* / surgery
Humans
Intraoperative Complications
Ultrasonography, Interventional* / methods