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Minimally invasive surgery: thread carpal tunnel release for treating carpal tunnel syndrome baycare.net
BayCare Clinic Pain & Rehab Medicine2401 Holmgren Way • Green Bay, WI 54304
For additional questions or to make an appointment, please call 920-288-8377.
Ashl
and
Aven
ue
Ashl
and
Aven
ue
One
ida
Stre
et
Holm
gren
Way
Willard Drive
Willard Drive
Cormier Rd
Bay
Park
Squ
are
Mal
l
Mar
cus
Thea
tre
BayCare Clinic Pain & Rehab Medicine
2401 Holmgren Way
From the east side of Green Bay:Take WI-172 west, exit at Oneida Street/Ashland Avenue, turn left onto Pilgrim Way, and turn right onto Holmgren Way.
From the west side of Green Bay:Take WI-172 east, exit at Oneida Street/Ashland Avenue, turn right on Vanderperren Way, and turn right onto Holmgren Way.
Minimally invasive surgery:thread carpal tunnel release
for treating carpal tunnel syndrome
baycare.net baycare.net
Danqing Guo, Yu Tang, Yizheng Ji, Tiansheng Sun, Joseph Guo and Danzhu Guo
HAND, a publication of the American Association for Hand Surgery, March 2015, Volume 10, Issue 1 Access online at Springerlink.com.
AbstractPurpose This study aims to develop an alternate technique for improving the surgical procedure of carpal tunnel release.
Method The transverse carpal ligament is transected by utilizing a piece of thread looped percutaneously under the visualization of ultrasound. The procedure, the thread carpal tunnel release (TCTR), was performed on 34 hands of 20 patients. Self-administrated Levine-Katz questionnaire was used for assessing the symptom severity and functional status of the outcomes.
Results TCTR was performed in each case with no unintended consequences. The average duration for a procedure was 7 min, excluding time of preparation. Significant improvements in subjective sensibility [sensitivity] were reported within 24 h, and sleep quality improved for all cases. There were no postoperative complications. The scores of questionnaire 3 months postoperatively were comparable to the literature controls.
Conclusion TCTR is a safe and effective minimally invasive surgery performed under local anesthesia in a clinic-based procedure room and results in only one-needle entrance point at the wrist and one-needle exit point in the palm. The feature of the procedure includes the potential of reduced risk of iatrogenic injury, reduced surgical cost, and reduced patient recovery time. The study has shown encouraging promise for optimizing the technique of carpal tunnel release.More clinical trials are necessary to confirm the findings.
A non-scalpel technique for minimally invasive surgery: percutaneously looped thread transection of the transverse carpal ligament
The Guo Technique for carpal tunnel syndrome release was developed by Drs. Danzhu Guo and Danqing Guo, both BayCare Clinic Pain & Rehab Medicine physicians.
Danqing Guo,MD, RMSK
Ultrasound technology precisely maps out the anatomy of the wrist and is then used to guide a thin needle through the base of the hand, underneath the transverse carpal ligament and exiting in the wrist. Through this needle, a thin smooth thread is fed.
Carpal tunnel syndrome(CTS) occurs whenthe median nerve iscompressed in the carpal tunnel, resulting in pain, numbness and restrictedmovement in the hand andfingers. It affects a variety of people, often those who work with their hands in repetitive motions.
What is carpal tunnel syndrome?
The thread surrounds the transverse carpal ligament and is manipulated, in a back and forth motion, to divide the transverse carpal ligament and release pressure on the median nerve.
Once complete, the thread is removed and two small bandages are placed on the needle placement sites. The entire procedure usually takes less than ten minutes.
The Guo Technique: Thread Carpal Tunnel Release (TCTR)This new minimally invasive technique is simple with no surgical incision, yet highly effective and yields consistently successful outcomes.
Another needle is inserted through the wrist in a similar fashion and
ultrasound guided over the transverse carpal ligament
and the thin smooth thread is again
looped through, back out the original needle site.
Endoscopic surgery
For additional questions or to makean appointment, please call BayCare Clinic Pain & Rehab Medicine 920-288-8377.
Open surgery
Other risk factors for CTS include past fractures and injuries, diabetes and rheumatoid arthritis. The disorder affects millions of people worldwide and if left untreated, muscles can atrophy and the effects are often irreversible.
Current treatments for CTS include conservative treatments such as splinting, medications and stretching exercises. If these treatments are ineffective, there are two traditional surgical techniques available: endoscopic surgery and open surgery.
Areaof handsuppliedby mediannerve
Transversecarpal ligament
Flexortendons
Mediannerve
©MMG 2015
©MMG 2015
©MMG 2015 ©MMG 2015
Advantages of the Guo Technique:Thread Carpal Tunnel Release (TCTR)There are many advantages of TCTR.
• Minimally invasive, no scalpel andno incisions
• Minimal pain
• Minimal downtime
• Performed in-office, with local anesthetic
• Minimal rehabilitation
Patients undergoing TCTR are generally able to return to normal activities in one or two days.
Precise ultrasound-defined anatomy
Ultrasound technology precisely maps out the anatomy of the wrist and is then used to guide a thin needle through the base of the hand, underneath the transverse carpal ligament and exiting in the wrist. Through this needle, a thin smooth thread is fed.
Carpal tunnel syndrome(CTS) occurs whenthe median nerve iscompressed in the carpal tunnel, resulting in pain, numbness and restrictedmovement in the hand andfingers. It affects a variety of people, often those who work with their hands in repetitive motions.
What is carpal tunnel syndrome?
The thread surrounds the transverse carpal ligament and is manipulated, in a back and forth motion, to divide the transverse carpal ligament and release pressure on the median nerve.
Once complete, the thread is removed and two small bandages are placed on the needle placement sites. The entire procedure usually takes less than ten minutes.
The Guo Technique: Thread Carpal Tunnel Release (TCTR)This new minimally invasive technique is simple with no surgical incision, yet highly effective and yields consistently successful outcomes.
Another needle is inserted through the wrist in a similar fashion and
ultrasound guided over the transverse carpal ligament
and the thin smooth thread is again
looped through, back out the original needle site.
Endoscopic surgery
For additional questions or to makean appointment, please call BayCare Clinic Pain & Rehab Medicine 920-288-8377.
Open surgery
Other risk factors for CTS include past fractures and injuries, diabetes and rheumatoid arthritis. The disorder affects millions of people worldwide and if left untreated, muscles can atrophy and the effects are often irreversible.
Current treatments for CTS include conservative treatments such as splinting, medications and stretching exercises. If these treatments are ineffective, there are two traditional surgical techniques available: endoscopic surgery and open surgery.
Areaof handsuppliedby mediannerve
Transversecarpal ligament
Flexortendons
Mediannerve
©MMG 2015
©MMG 2015
©MMG 2015 ©MMG 2015
Advantages of the Guo Technique:Thread Carpal Tunnel Release (TCTR)There are many advantages of TCTR.
• Minimally invasive, no scalpel andno incisions
• Minimal pain
• Minimal downtime
• Performed in-office, with local anesthetic
• Minimal rehabilitation
Patients undergoing TCTR are generally able to return to normal activities in one or two days.
Precise ultrasound-defined anatomy
Ultrasound technology precisely maps out the anatomy of the wrist and is then used to guide a thin needle through the base of the hand, underneath the transverse carpal ligament and exiting in the wrist. Through this needle, a thin smooth thread is fed.
Carpal tunnel syndrome(CTS) occurs whenthe median nerve iscompressed in the carpal tunnel, resulting in pain, numbness and restrictedmovement in the hand andfingers. It affects a variety of people, often those who work with their hands in repetitive motions.
What is carpal tunnel syndrome?
The thread surrounds the transverse carpal ligament and is manipulated, in a back and forth motion, to divide the transverse carpal ligament and release pressure on the median nerve.
Once complete, the thread is removed and two small bandages are placed on the needle placement sites. The entire procedure usually takes less than ten minutes.
The Guo Technique: Thread Carpal Tunnel Release (TCTR)This new minimally invasive technique is simple with no surgical incision, yet highly effective and yields consistently successful outcomes.
Another needle is inserted through the wrist in a similar fashion and
ultrasound guided over the transverse carpal ligament
and the thin smooth thread is again
looped through, back out the original needle site.
Endoscopic surgery
For additional questions or to makean appointment, please call BayCare Clinic Pain & Rehab Medicine 920-288-8377.
Open surgery
Other risk factors for CTS include past fractures and injuries, diabetes and rheumatoid arthritis. The disorder affects millions of people worldwide and if left untreated, muscles can atrophy and the effects are often irreversible.
Current treatments for CTS include conservative treatments such as splinting, medications and stretching exercises. If these treatments are ineffective, there are two traditional surgical techniques available: endoscopic surgery and open surgery.
Areaof handsuppliedby mediannerve
Transversecarpal ligament
Flexortendons
Mediannerve
©MMG 2015
©MMG 2015
©MMG 2015 ©MMG 2015
Advantages of the Guo Technique:Thread Carpal Tunnel Release (TCTR)There are many advantages of TCTR.
• Minimally invasive, no scalpel and no incisions
• Minimal pain
• Minimal downtime
• Performed in-office, with local anesthetic
• Minimal rehabilitation
Patients undergoing TCTR are generally able to return to normal activities in one or two days.
Precise ultrasound-defined anatomy
BayCare Clinic Pain & Rehab Medicine2401 Holmgren Way • Green Bay, WI 54304
For additional questions or to make an appointment, please call 920-288-8377.
Ashl
and
Aven
ue
Ashl
and
Aven
ue
One
ida
Stre
et
Holm
gren
Way
Willard Drive
Willard Drive
Cormier Rd
Bay
Park
Squ
are
Mal
l
Mar
cus
Thea
tre
BayCare Clinic Pain & Rehab Medicine
2401 Holmgren Way
From the east side of Green Bay:Take WI-172 west, exit at Oneida Street/Ashland Avenue, turn left onto Pilgrim Way, and turn right onto Holmgren Way.
From the west side of Green Bay:Take WI-172 east, exit at Oneida Street/Ashland Avenue, turn right on Vanderperren Way, and turn right onto Holmgren Way.
Minimally invasive surgery:thread carpal tunnel release
for treating carpal tunnel syndrome
baycare.net baycare.net
Danqing Guo, Yu Tang, Yizheng Ji, Tiansheng Sun, Joseph Guo and Danzhu Guo
HAND, a publication of the American Association for Hand Surgery, March 2015, Volume 10, Issue 1 Access online at Springerlink.com.
AbstractPurpose This study aims to develop an alternate technique for improving the surgical procedure of carpal tunnel release.
Method The transverse carpal ligament is transected by utilizing a piece of thread looped percutaneously under the visualization of ultrasound. The procedure, the thread carpal tunnel release (TCTR), was performed on 34 hands of 20 patients. Self-administrated Levine-Katz questionnaire was used for assessing the symptom severity and functional status of the outcomes.
Results TCTR was performed in each case with no unintended consequences. The average duration for a procedure was 7 min, excluding time of preparation. Significant improvements in subjective sensibility [sensitivity] were reported within 24 h, and sleep quality improved for all cases. There were no postoperative complications. The scores of questionnaire 3 months postoperatively were comparable to the literature controls.
Conclusion TCTR is a safe and effective minimally invasive surgery performed under local anesthesia in a clinic-based procedure room and results in only one-needle entrance point at the wrist and one-needle exit point in the palm. The feature of the procedure includes the potential of reduced risk of iatrogenic injury, reduced surgical cost, and reduced patient recovery time. The study has shown encouraging promise for optimizing the technique of carpal tunnel release.More clinical trials are necessary to confirm the findings.
A non-scalpel technique for minimally invasive surgery: percutaneously looped thread transection of the transverse carpal ligament
The Guo Technique for carpal tunnel syndrome release was developed by Drs. Danzhu Guo and Danqing Guo, both BayCare Clinic Pain & Rehab Medicine physicians.
Danqing Guo,MD, RMSK
BayCare Clinic Pain & Rehab Medicine2401 Holmgren Way • Green Bay, WI 54304
For additional questions or to make an appointment, please call 920-288-8377.
Ashl
and
Aven
ue
Ashl
and
Aven
ue
One
ida
Stre
et
Holm
gren
Way
Willard Drive
Willard Drive
Cormier Rd
Bay
Park
Squ
are
Mal
l
Mar
cus
Thea
tre
BayCare Clinic Pain & Rehab Medicine
2401 Holmgren Way
From the east side of Green Bay:Take WI-172 west, exit at Oneida Street/Ashland Avenue, turn left onto Pilgrim Way, and turn right onto Holmgren Way.
From the west side of Green Bay:Take WI-172 east, exit at Oneida Street/Ashland Avenue, turn right on Vanderperren Way, and turn right onto Holmgren Way.
Minimally invasive surgery:thread carpal tunnel release
for treating carpal tunnel syndrome
baycare.net baycare.net
Danqing Guo, Yu Tang, Yizheng Ji, Tiansheng Sun, Joseph Guo and Danzhu Guo
HAND, a publication of the American Association for Hand Surgery, March 2015, Volume 10, Issue 1 Access online at Springerlink.com.
AbstractPurpose This study aims to develop an alternate technique for improving the surgical procedure of carpal tunnel release.
Method The transverse carpal ligament is transected by utilizing a piece of thread looped percutaneously under the visualization of ultrasound. The procedure, the thread carpal tunnel release (TCTR), was performed on 34 hands of 20 patients. Self-administrated Levine-Katz questionnaire was used for assessing the symptom severity and functional status of the outcomes.
Results TCTR was performed in each case with no unintended consequences. The average duration for a procedure was 7 min, excluding time of preparation. Significant improvements in subjective sensibility [sensitivity] were reported within 24 h, and sleep quality improved for all cases. There were no postoperative complications. The scores of questionnaire 3 months postoperatively were comparable to the literature controls.
Conclusion TCTR is a safe and effective minimally invasive surgery performed under local anesthesia in a clinic-based procedure room and results in only one-needle entrance point at the wrist and one-needle exit point in the palm. The feature of the procedure includes the potential of reduced risk of iatrogenic injury, reduced surgical cost, and reduced patient recovery time. The study has shown encouraging promise for optimizing the technique of carpal tunnel release.More clinical trials are necessary to confirm the findings.
A non-scalpel technique for minimally invasive surgery: percutaneously looped thread transection of the transverse carpal ligament
The Guo Technique for carpal tunnel syndrome release was developed by Drs. Danzhu Guo and Danqing Guo, both BayCare Clinic Pain & Rehab Medicine physicians.
Danqing Guo,MD, RMSK
