{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:14:59Z","timestamp":1792271699851,"version":"4.4.0"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82104886"],"award-info":[{"award-number":["82104886"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007847","name":"Natural Science Foundation of Fujian Province of China","doi-asserted-by":"publisher","award":["2021J01932"],"award-info":[{"award-number":["2021J01932"]}],"id":[{"id":"10.13039\/100007847","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to determine the safety and accuracy of ultrasound-guided acupotomy percutaneous loosening of the transverse carpal ligament.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 100 upper limb specimens were equally divided into the ultrasound-guided acupotomy group (<jats:italic>U<\/jats:italic>) and the nonultrasound-guided acupotomy group (<jats:italic>N<\/jats:italic>). For the <jats:italic>U<\/jats:italic> group, we simulated ultrasound-guided acupotomy loosening of the transverse carpal ligament in a human specimen, and for the <jats:italic>N<\/jats:italic> group, we performed the loosening of the transverse carpal ligament through the same approach under nonultrasound-guided conditions. The safety and accuracy of the two methods were compared through measurement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the ultrasound-guided group, the injury rate of nerves, blood vessels and tendons caused by needle-knife release was 0%. In the non-ultrasound-guided group, the rate of nerve, blood vessel and tendon damage was 6 percent, 12 percent and 20 percent, respectively. <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test (Fisher exact test) was performed for the nerve and blood vessel damage rates in the two groups (<jats:italic>P<jats:sub>N<\/jats:sub><\/jats:italic>\u2009&amp;gt;\u20090.05, <jats:italic>P<jats:sub>A<\/jats:sub><\/jats:italic>\u2009&amp;lt;\u20090.05), the difference in nerve damage rates was not statistically significant, but the difference in blood vessel damage rates was statistically significant. Pearson's <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test was performed on the tendon injury rates of the two groups (<jats:italic>P<jats:sub>F<\/jats:sub><\/jats:italic>\u2009&amp;lt;\u20090.05), and the difference was statistically significant. In the ultrasound-guided group, the proportion of acupotomy marks greater than or equal to half of the width of the transverse carpal ligament was 86%, and the non-ultrasound-guided group was 36%. The accuracy of the two surgical methods was tested by Pearson's <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test (<jats:italic>P<jats:sub>L<\/jats:sub><\/jats:italic>\u2009&amp;lt;\u20090.05), and the difference was statistically significant. According to the measurement, the ultrasound-guided acupotomy technology had high safety and accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, we designed a new method for cutting the transverse carpal ligament under ultrasound guidance, which is different from surgery. These results indicate that this is a safe and accurate method of interventional treatment of carpal tunnel syndrome.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.906109","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T10:49:52Z","timestamp":1673002192000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["Ultrasound-guided percutaneous release procedures in the transverse carpal ligament by acupotomy: A cadaveric 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