{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:38:23Z","timestamp":1787009903826,"version":"build-2736575974"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Ultrasound guidance in the operative treatment of carpal tunnel syndrome is gaining in popularity as it noninvasively provides the surgeon with a real-time high-resolution overview of anatomic structures. A new incision-less approach to achieve a division of the transverse carpal ligament has been developed that combines ultrasound guidance with cannulated needles and a thread. Conceptually, an abrasive thread is looped percutaneously around the ligament while avoiding injury to neurovascular structures, the palmar aponeurosis, and skin. The thread is positioned using 2 puncture sites and a contoured Tuohy needle under ultrasound visualization. With a minimal injury to surrounding structures, this approach is designed to minimize recovery time and decrease pillar pain. This article will provide a step-by-step overview of the technique and includes a review of clinical outcomes published so far.<\/jats:p>","DOI":"10.1097\/bth.0000000000000305","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T22:08:30Z","timestamp":1593727710000},"page":"14-19","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":22,"title":["An Incision-less Ultrasound-guided Carpal Tunnel Release Technique"],"prefix":"10.1097","volume":"25","author":[{"given":"Verena J.M.M.","family":"Schrier","sequence":"first","affiliation":[{"name":"Orthopedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Neurosurgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S.","family":"Brault","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,3]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1001\/jama.282.2.153","article-title":"Prevalence of carpal tunnel syndrome in a general population","volume":"282","author":"Atroshi","year":"1999","journal-title":"JAMA"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"367.e2","DOI":"10.1016\/j.jhsa.2015.11.021","article-title":"National utilization patterns of steroid injection and operative intervention for treatment of common hand conditions","volume":"41","author":"Sears","year":"2016","journal-title":"J Hand Surg Am"},{"key":"R3-20250512","first-page":"167","article-title":"Social and economic costs of carpal tunnel surgery","volume":"44","author":"Palmer","year":"1995","journal-title":"Instr Course Lect"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1007\/s11999-014-3835-z","article-title":"Open versus endoscopic carpal tunnel release: a meta-analysis of randomized controlled trials","volume":"473","author":"Sayegh","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1097\/01.PRS.0000135850.37523.D0","article-title":"A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression","volume":"114","author":"Thoma","year":"2004","journal-title":"Plast Reconstr Surg"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s13018-014-0148-6","article-title":"Endoscopic versus open carpal tunnel release for idiopathic carpal tunnel syndrome: a meta-analysis of randomized controlled trials","volume":"10","author":"Zuo","year":"2015","journal-title":"J Orthop Surg Res"},{"key":"R8-20250512","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s00402-013-1898-z","article-title":"Effectiveness and safety of endoscopic versus open carpal tunnel decompression","volume":"134","author":"Chen","year":"2014","journal-title":"Arch Orthop Trauma Surg"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"e0143683","DOI":"10.1371\/journal.pone.0143683","article-title":"Endoscopic and open release similarly safe for the treatment of carpal tunnel syndrome. 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