PMID- 35254722
OWN - NLM
STAT- MEDLINE
DCOM- 20230322
LR  - 20230330
IS  - 1934-1563 (Electronic)
IS  - 1934-1482 (Linking)
VI  - 15
IP  - 3
DP  - 2023 Mar
TI  - Ultrasound-guided percutaneous carpal tunnel release: A systematic review.
PG  - 363-379
LID - 10.1002/pmrj.12801 [doi]
AB  - OBJECTIVE: Carpal tunnel syndrome (CTS) is the most common peripheral entrapment 
      mononeuropathy. The purpose of this systematic review is to evaluate the reported 
      clinical effectiveness and safety of ultrasound-guided percutaneous carpal tunnel 
      release (USCTR) for the treatment of CTS. LITERATURE SURVEY: PubMed, EMBASE, and 
      ScienceDirect databases were queried from database inception to February 20, 
      2021, to identify clinical studies on USCTR. METHODOLOGY: Two reviewers 
      independently completed title, abstract, and full-text screening, and they 
      extracted data in duplicate for analysis. Procedure techniques, outcome measures, 
      and complications were descriptively analyzed. SYNTHESIS: Eighty-seven studies 
      were eligible for screening. Twenty studies (three randomized controlled trials, 
      three prospective cohort studies, and 14 case series) met inclusion criteria, 
      with a total of 1772 USCTR cases. The overall level of evidence was very low, 
      with seven studies with at least moderate risk of bias. Thirteen studies exceeded 
      the minimal clinically important difference (MCID) for the Boston Carpal Tunnel 
      Questionnaire Symptom Severity Scale (BCTQ-SS) and Boston Carpal Tunnel 
      Questionnaire Functional Status Scale (BCTQ-FS), and six studies exceeded the 
      MCID for the Quick Disabilities of Arm, Shoulder & Hand (QDASH). Five studies 
      reported statistically significant improvement in these functional outcome 
      measures as early as the first week post-procedure. A major complication occurred 
      in one patient who developed suspected compartment syndrome, and minor 
      complications were reported in 24 patients. CONCLUSIONS: Based on very low level 
      of evidence, early studies suggest that USCTR may be an effective treatment for 
      CTS, with potential for short post-procedure recovery times.
CI  - (c) 2022 American Academy of Physical Medicine and Rehabilitation.
FAU - Chou, Raymond C
AU  - Chou RC
AUID- ORCID: 0000-0001-6436-5525
AD  - Physical Medicine and Rehabilitation Division, Department of Orthopaedic Surgery, 
      Stanford University, Redwood City, California, USA.
FAU - Robinson, David M
AU  - Robinson DM
AD  - Sports Medicine Division, Department of Orthopedic Surgery, Mayo Clinic, 
      Minneapolis, Minnesota, USA.
FAU - Homer, Scott
AU  - Homer S
AD  - Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation 
      Hospital/Harvard Medical School, Charlestown, Massachusetts, USA.
AD  - Department of Orthopaedic Surgery, Brigham and Women's Hospital/Harvard Medical 
      School, Boston, Massachusetts, USA.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20220516
PL  - United States
TA  - PM R
JT  - PM & R : the journal of injury, function, and rehabilitation
JID - 101491319
SB  - IM
MH  - Humans
MH  - *Carpal Tunnel Syndrome/diagnostic imaging/surgery
MH  - Prospective Studies
MH  - Treatment Outcome
MH  - Outcome Assessment, Health Care
MH  - Ultrasonography, Interventional/methods
MH  - Surveys and Questionnaires
EDAT- 2022/03/08 06:00
MHDA- 2023/03/23 06:00
CRDT- 2022/03/07 12:19
PHST- 2022/02/08 00:00 [revised]
PHST- 2021/11/01 00:00 [received]
PHST- 2022/02/25 00:00 [accepted]
PHST- 2022/03/08 06:00 [pubmed]
PHST- 2023/03/23 06:00 [medline]
PHST- 2022/03/07 12:19 [entrez]
AID - 10.1002/pmrj.12801 [doi]
PST - ppublish
SO  - PM R. 2023 Mar;15(3):363-379. doi: 10.1002/pmrj.12801. Epub 2022 May 16.