Evidence map›Paper›PMID 39836344›Full record

ArticleLa Radiologia medica2025

Ultrasound-guided minimally invasive thread release of carpal tunnel: a cadaveric study.

Suren Jengojan, Philipp Sorgo, Alessio Piacentini, Johannes Streicher, Domenico Albano, Gregor Kasprian, Veith Moser, Gerd Bodner

Abstract read
In one paragraph

Article in La Radiologia medica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Suren JengojanDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. suren.jengojan@meduniwien.ac.at.ORCID http://orcid.org/0009-0007-8577-9066
Philipp SorgoDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Alessio PiacentiniIRCCS Istituto Ortopedico Galeazzi, Universita' Degli Studi Di Milano, Milan, Italy.ORCID http://orcid.org/0000-0001-5266-7251
Johannes StreicherDepartment of Anatomy and Developmental Biology, Karl Landsteiner University of Health Sciences, Dr.-Karl-Dorrek-Straße 30, 3500, Krems an Der Donau, Austria.
Domenico AlbanoIRCCS Istituto Ortopedico Galeazzi, Universita' Degli Studi Di Milano, Milan, Italy.ORCID http://orcid.org/0000-0001-7989-9861
Gregor KasprianDepartment of Biomedical Imaging and Image-Guided Therapy, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Veith MoserDepartment of Trauma Surgery, Lorenz Boehler Hospital, Vienna, Austria.ORCID http://orcid.org/0000-0002-3480-7537
Gerd BodnerNeuromuscular Imaging Ordinationszentrum Döbling, Heiligenstädter Straße 46-48, 1190, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThread release of the carpal tunnel is the most recent of several minimally invasive ultrasound-guided carpal tunnel release techniques. The purpose of this article is to provide a step-by-step guide for minimally invasive, ultrasound-guided thread release of the carpal tunnel focused on transecting the transverse carpal ligament with minimal damage to the palmar aponeurosis on anatomical specimens.

methodsFifteen ultrasound-guided carpal tunnel thread releases were performed on the wrists of soft-embalmed anatomical specimens, which were dissected immediately after the intervention. The procedures were performed by two musculoskeletal radiologists with 25 and 8 years of experience, respectively, in interventional radiology. Ultrasound visibility, completeness of transection, and damage to surrounding structures were evaluated on a score from 1 to 3.

resultsWe achieved a complete transection of the transverse carpal ligament in 11 of 15 interventions (73%) and an incomplete transection in the remaining four (27%). No neural or vascular structures were harmed. In two cases (13%), there was irrelevant damage to flexor tendons. The ultrasound visibility was rough in five specimens (33.3%), moderate in five (33.3%), and optimal in five (33.3%). Essential structures were delineated in all cases.

conclusionThread release of the carpal tunnel leads to only minimal damage to skin, as well as structures within the carpal tunnel and the palmar aponeurosis, promising a low amount of postinterventional complications. RELEVANCE STATEMENT: Our study showed that minimally invasive ultrasound-guided thread release of the carpal tunnel is a feasible approach in the anatomical model. The results may provide a basis for further research and refinement of this technique.

Indexed as

Carpal Tunnel SyndromeMinimally Invasive Surgical ProceduresUltrasonography, InterventionalCadaverHumansLigaments, ArticularCadaversCarpal tunnel syndromeDecompressionUltrasonographyWrist

Identifiers

PMID39836344
PMCPMC12008055

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.