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Updated: Oct 12, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Safe Zones for Percutaneous Carpal Tunnel Release
Po-Ting Wu1, Tai-Chang Chern2, Tung-Tai Wu3
1Department 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.
Carpal tunnel release (CTR) using ultrasound guidance is effective but requires understanding anatomical "safe zones" to prevent rare, devastating complications. Proper technique and experience are crucial for safe and reliable percutaneous CTR.
Area of Science:
- Orthopedics
- Surgical Anatomy
- Medical Imaging
Background:
- Carpal tunnel release (CTR) effectively treats carpal tunnel syndrome.
- Minimally invasive CTR techniques, including ultrasound-guided CTR (UCTR), reduce invasiveness.
- Intraoperative complications, though rare, can be severe, often stemming from technique errors.
Purpose of the Study:
- To review the anatomical
- safe zones
- critical for performing percutaneous carpal tunnel release.
- To detail ultrasound-guided carpal tunnel release (UCTR) techniques.
- To emphasize the prevention of intraoperative complications through anatomical knowledge and proper technique.
Main Methods:
- Review of anatomical literature pertaining to the carpal tunnel.
- Description of ultrasound-guided carpal tunnel release (UCTR) procedures.
- Emphasis on identifying and utilizing anatomical "safe zones" during UCTR.
Main Results:
- Ultrasound-guided CTR (UCTR), when performed with strict adherence to anatomical "safe zones", is an effective and reliable procedure.
- Understanding these "safe zones" is essential for minimizing intraoperative risks.
- Successful UCTR requires substantial experience in ultrasound-guided procedures.
Conclusions:
- Ultrasound-guided carpal tunnel release (UCTR) is a safe and effective method when anatomical "safe zones" are meticulously observed.
- Mastery of UCTR techniques and significant experience are necessary for optimal patient outcomes.
- Preventing complications in percutaneous CTR hinges on precise anatomical knowledge and skilled execution.
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