{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:28:54Z","timestamp":1747150134066,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study compared levels of discomfort among three positions for ultrasound\u2010guided carpal tunnel injections (USCTI) to potentially facilitate and improve the procedure's tolerability in treating carpal tunnel syndrome (CTS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ambulatory Veterans referred for electromyography (EMG) evaluation of CTS were eligible for the study; a total of 30 participants were evaluated. Participants were asked to hold three different positions: 1) Hypersupination, 2) Airplane, and 3) total supported abduction (TSA). Participants rated their pain level, ease of performing\/holding each position, exacerbation of underlying symptoms, and position preference. Results were analyzed with two\u2010way repeated measures ANOVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hypersupination was determined to be the least preferred and most painful position to hold, demonstrating a statistically significant increase in the Numeric Rating Scale score for pain during the procedure compared with Airplane and TSA, which were not significantly different from one another. Pre\u2010procedure neck, shoulder, elbow, and wrist pain were not significantly associated with intra\u2010procedure pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When performing USCTI, patient comfort can be optimized by avoiding Hypersupination. Utilizing the Airplane or TSA positions may provide similar access for ulnar approach injections while inducing lower levels of discomfort. Clinical space, resources, patient mobility, and laterality of procedures may further guide one's selection among the positions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16401","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T11:34:27Z","timestamp":1705664067000},"page":"751-760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Comfort and Patient Preference of Common and a Novel Position for Ultrasound\u2010Guided Carpal Tunnel Injections"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4356-9307","authenticated-orcid":false,"given":"David Y.","family":"Balser","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kersten 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Rehabilitation Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Weyrauch","sequence":"additional","affiliation":[{"name":"School of Kinesiology, University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4008-7847","authenticated-orcid":false,"given":"Alexander M.","family":"Senk","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Minnesota  Minneapolis Minnesota USA"},{"name":"Department of Physical Medicine and Rehabilitation Minneapolis Veterans Affairs Health Care System  Minneapolis Minnesota 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