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Ultrasound-guided minimally invasive cubital tunnel thread release: An experimental study
Suren Jengojan1, Sophia Wirth1, Philipp Sorgo1
1Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
European Journal of Radiology
|August 22, 2024
Summary
Ultrasound-guided thread cubital tunnel release successfully transected Osborne
Area of Science:
- Orthopedics and Sports Medicine
- Minimally Invasive Procedures
Background:
- Cubital Tunnel Syndrome involves ulnar nerve compression at the elbow, impacting daily activities.
- Conventional treatments include conservative measures and surgery, which can have limiting side effects.
- Ultrasound-guided (US-guided) thread release offers a potential minimally invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and safety of US-guided thread cubital tunnel release (TCuTR).
- To assess TCuTR in an anatomical specimen model.
Main Methods:
- A prospective experimental study was conducted on 11 embalmed anatomical specimens.
- US-guided TCuTR was performed, followed by dissection to verify Osborne's ligament transection and assess adjacent structures.
Main Results:
- Osborne's ligament was completely transected in 10 out of 11 specimens.
- No damage to surrounding nerves, blood vessels, tendons, or muscles was observed.
- One specimen was excluded due to calcification.
Conclusions:
- US-guided decompression demonstrated high success in transecting Osborne's ligament.
- The technique proved safe, avoiding damage to adjacent neurovascular and musculoskeletal structures.
- This emerging method presents a promising, secure alternative to current cubital tunnel release procedures.
