{"title":"Ultrasound-guided release of the fibro-osseous tunnels around the wrist and hand: A technical review.","authors":"Nishith Kumar, Alfa Shamim Saifi, Upinderjeet Singh, Divesh Jalan, Skand Sinha, Dharmendra Kumar Singh","doi":"10.1093/bjr/tqaf164","DOIUrl":null,"url":null,"abstract":"<p><p>Fibro-osseous tunnels allow the unhindered passage of the neurovascular bundle and sliding tendons across the mobile joint. Release of the fibro-osseous tunnels is performed for entrapment neuropathy and stenosing tenosynovitis which occur as a result of increase in the volume/pressure within these tunnels. The common surgical principle in all these pathologies is releasing the pressure by transecting the fascial covering. Primarily these pathologies are treated with open surgery but are potentially amenable to curative percutaneous ultrasound (US) guided release procedures. US is the preferable guiding modality due to its high resolution and real-time demonstration of the anatomy and needle positioning. The advantages of these minimally invasive techniques are lower risk of wound breakdown, quicker healing, reduced post-procedural pain, reduced complications, and a quicker return to normal activity. The release of the tunnel may be achieved by sectioning the thickened pulley or retinaculum with the aid of the needle bevel or surgical-grade thread which are universally available, economical, and equally effective. This article reviews the literature, our institutional experience and the rationale of US-guided percutaneous release procedures in wrist and hand including thread and partial needle carpal tunnel release for carpal tunnel syndrome, needle release for trigger finger, partial needle release for de Quervain's tenosynovitis and needle aponeurotomy for Dupuytren's contracture.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/bjr/tqaf164","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Fibro-osseous tunnels allow the unhindered passage of the neurovascular bundle and sliding tendons across the mobile joint. Release of the fibro-osseous tunnels is performed for entrapment neuropathy and stenosing tenosynovitis which occur as a result of increase in the volume/pressure within these tunnels. The common surgical principle in all these pathologies is releasing the pressure by transecting the fascial covering. Primarily these pathologies are treated with open surgery but are potentially amenable to curative percutaneous ultrasound (US) guided release procedures. US is the preferable guiding modality due to its high resolution and real-time demonstration of the anatomy and needle positioning. The advantages of these minimally invasive techniques are lower risk of wound breakdown, quicker healing, reduced post-procedural pain, reduced complications, and a quicker return to normal activity. The release of the tunnel may be achieved by sectioning the thickened pulley or retinaculum with the aid of the needle bevel or surgical-grade thread which are universally available, economical, and equally effective. This article reviews the literature, our institutional experience and the rationale of US-guided percutaneous release procedures in wrist and hand including thread and partial needle carpal tunnel release for carpal tunnel syndrome, needle release for trigger finger, partial needle release for de Quervain's tenosynovitis and needle aponeurotomy for Dupuytren's contracture.
期刊介绍:
BJR is the international research journal of the British Institute of Radiology and is the oldest scientific journal in the field of radiology and related sciences.
Dating back to 1896, BJR’s history is radiology’s history, and the journal has featured some landmark papers such as the first description of Computed Tomography "Computerized transverse axial tomography" by Godfrey Hounsfield in 1973. A valuable historical resource, the complete BJR archive has been digitized from 1896.
Quick Facts:
- 2015 Impact Factor – 1.840
- Receipt to first decision – average of 6 weeks
- Acceptance to online publication – average of 3 weeks
- ISSN: 0007-1285
- eISSN: 1748-880X
Open Access option