TY - JOUR
T1 - Ultrasound-guided minimally invasive cubital tunnel thread release
T2 - An experimental study
AU - Jengojan, Suren
AU - Wirth, Sophia
AU - Sorgo, Philipp
AU - Streicher, Johannes
AU - Gruber, Gerlinde
AU - Moser, Veith
AU - Kasprian, Gregor
AU - Bodner, Gerd
N1 - Publisher Copyright:
© 2024
PY - 2024/10
Y1 - 2024/10
N2 - INTRODUCTION: Cubital Tunnel Syndrome is characterized by the compression of the ulnar nerve in the cubital tunnel and can cause restrictions to the activities of daily living. Traditional treatment includes conservative methods and, in more severe cases, different types of surgery. In these cases, common side effects of surgery may limit the clinical success. A new alternative could be a minimally invasive Ultrasound-guided (US-guided) thread release of cubital tunnel retinaculum also known as the Osborne's ligament. The aim of this study was to assess the efficacy and safety of ultrasound-guided thread cubital tunnel release (TCuTR) in an anatomical specimen model.METHODS: In this single-center prospective experimental study, US-guided thread cubital tunnel release (TCuTR) was performed on 11 softly embalmed anatomic specimens. Subsequently, the elbows were dissected to assess the transection of Osborne's ligament and potential damage to adjacent structures.RESULTS: Due to calcification, one specimen was ineligible for the intervention. In all remaining ten interventions, Osborne's ligament (OL) was completely transected, without any damage to the surrounding nerves, blood vessels, tendons, or muscles.CONCLUSION: US-guided decompression has demonstrated a high success rate in transecting Osborne's ligament while averting damage to neighboring structures. This emerging technique appears to present an efficient and secure alternative to existing procedures.
AB - INTRODUCTION: Cubital Tunnel Syndrome is characterized by the compression of the ulnar nerve in the cubital tunnel and can cause restrictions to the activities of daily living. Traditional treatment includes conservative methods and, in more severe cases, different types of surgery. In these cases, common side effects of surgery may limit the clinical success. A new alternative could be a minimally invasive Ultrasound-guided (US-guided) thread release of cubital tunnel retinaculum also known as the Osborne's ligament. The aim of this study was to assess the efficacy and safety of ultrasound-guided thread cubital tunnel release (TCuTR) in an anatomical specimen model.METHODS: In this single-center prospective experimental study, US-guided thread cubital tunnel release (TCuTR) was performed on 11 softly embalmed anatomic specimens. Subsequently, the elbows were dissected to assess the transection of Osborne's ligament and potential damage to adjacent structures.RESULTS: Due to calcification, one specimen was ineligible for the intervention. In all remaining ten interventions, Osborne's ligament (OL) was completely transected, without any damage to the surrounding nerves, blood vessels, tendons, or muscles.CONCLUSION: US-guided decompression has demonstrated a high success rate in transecting Osborne's ligament while averting damage to neighboring structures. This emerging technique appears to present an efficient and secure alternative to existing procedures.
KW - Cubital Tunnel Syndrome/surgery
KW - Humans
KW - Ultrasonography, Interventional/methods
KW - Minimally Invasive Surgical Procedures/methods
KW - Cadaver
KW - Decompression, Surgical/methods
KW - Male
KW - Treatment Outcome
KW - Prospective Studies
KW - Female
KW - Surgery, Computer-Assisted/methods
UR - http://www.scopus.com/inward/record.url?scp=85201502239&partnerID=8YFLogxK
U2 - 10.1016/j.ejrad.2024.111682
DO - 10.1016/j.ejrad.2024.111682
M3 - Journal article
C2 - 39173498
SN - 0720-048X
VL - 179
SP - 111682
JO - European Journal of Radiology
JF - European Journal of Radiology
M1 - 111682
ER -