{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T21:21:31Z","timestamp":1788211291114,"version":"build-2803163510"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T00:00:00Z","timestamp":1566777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to determine the safety and efficacy of ultrasound\u2010guided carpal tunnel release (USCTR) in a consecutive group of patients treated by a single primary care sports medicine physician.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study group consisted of 35 USCTRs performed on 22 consecutive patients for whom clinical outcomes were available before USCTR and at 1 to 2\u2009weeks, 1 month, and 3 months after USCTR. All procedures were performed by the same operator using a single USCTR technique. Outcomes included complications, Quick Disabilities of the Arm, Shoulder, and Hand scores, Boston Carpal Tunnel Questionnaire symptom severity and functional status scores, and a 5\u2010point global satisfaction score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 22 patients included 13 female and 9 male patients (ages 31\u201382\u2009years). Eleven patients (22 wrists) had bilateral simultaneous USCTRs; 2 patients (4 wrists) had staged bilateral USCTRs; and 9 patients had unilateral USCTRs. No complications occurred in any patient. Statistically and clinically significant reductions in Quick Disabilities of the Arm, Shoulder, and Hand scores and Boston Carpal Tunnel Questionnaire symptom severity and functional status scores occurred by 1 to 2\u2009weeks after USCTR (mean 1\u2010 to 2\u2010week changes, \u201329.23, \u20131.74, and \u20131.18, respectively), and further improvements occurred during the 3\u2010month follow\u2010up period (mean 3\u2010month changes, \u201351.11, \u20132.29, and \u20131.91; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001 for all values versus before USCTR). Mean global satisfaction scores at 1 to 2\u2009weeks and 3 months were 4.63 and 4.66.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ultrasound\u2010guided CTR is a safe and effective procedure that can be performed by an experienced primary care sports medicine physician and typically results in significant improvements within the first 2\u2009weeks after the procedure. Furthermore, bilateral simultaneous USCTRs are feasible and may provide significant advantages for patients who are candidates for bilateral CTRs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15120","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T13:06:58Z","timestamp":1566824818000},"page":"441-452","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Clinical Results of Ultrasound\u2010Guided Carpal Tunnel Release Performed by a Primary Care Sports Medicine Physician"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1514-6910","authenticated-orcid":false,"given":"Anthony E.","family":"Joseph","sequence":"first","affiliation":[{"name":"OrthoIdaho  Pocatello Idaho USA"},{"name":"Department of Family Medicine Idaho State University  Pocatello Idaho USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Braeden M.","family":"Leiby","sequence":"additional","affiliation":[{"name":"OrthoIdaho  Pocatello Idaho USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4657-5953","authenticated-orcid":false,"given":"John P.","family":"Beckman","sequence":"additional","affiliation":[{"name":"Sonex Health, Inc.  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