Table 1. Summary of publications reporting UCTR for the treatment of carpal tunnel syndrome.
Reference | No. of patients | Type of study | Surgical approach | Instruments | Incision size | Postsurgical analysis | Follow-up | Complications |
---|---|---|---|---|---|---|---|---|
Nakamichi et al 1997 | 103 | Prospective, comparative, monocentric, randomized (50 vs. 53) | Mixed (miniopen surgery + UCTR) Access palmar Anterograde section under the FR versus miniopen (distal flexion crease) |
Dissecting scissors Basket punch Trocar |
15 vs. 10 mm | Pain Paraesthesia Grip test Sensitivity |
24 mo | 0 |
Nakamichi et al 2010 | 74 | Prospective, comparative, monocentric, randomized (35 vs. 39) vs. miniopen | Mixed (surgery + UCTR) Access palmar Anterograde section under the FR |
Hook knife + guide + trocar | 4 vs. 10–15 mm | Pain Paraesthesia Grip test Sensitivity |
24 mo | 0 |
Petrover et al 2017 7 | 39 | Monocentric, open, noncontrolled Interventional ultrasound room |
Dissection with scissors UCTR under the FR Retrograde Wrist flexion crease 19.0 ± 4.6 min |
Dissecting Scissors Endoscope Trocar Specific hook knife |
5 mm | Pain score Paraesthesia Resumption of activity |
3 mo | 0 |
Capa-Grasa et al 2014 5 | 57 | Pilot study of feasibility, monocentric, randomized, comparative vs. miniopen (office-based surgery) | UCTR Wrist flexion crease Under the FR Retrograde Interval between patients 19.1 ± 1.41 min |
Hook knife + Kirschner's guide | 1–2 mm vs. 2 cm | Quick-Dash questionnaire Grip test |
3 mo | 0 |
Rojo-Manaute et al 2016 6 | 128 | Monocentric, randomized, comparative vs. miniopen (office-based surgery) | UCTR Retrograde Under the FR Vs. miniopen Wrist flexion crease |
Hook knife + Kirschner's guide | 1–2 mm vs. 2 cm | Quick-Dash questionnaire Grip test Paraesthesia Resumption of daily activity and work |
12 mo | 0 |
McShane et al 2012 22 | 17 | Retrospective Monocentric |
Needle fenestration Under the FR Wrist flexion crease |
18G needle xylo + betamethasone |
1 mm | DASH score Grip test Ultrasound median nerve diameter |
9.2 mo | 0 |
Chern et al 2015 4 | 91 | Monocentric | Superficial route Below the FR Retrograde Wrist flexion crease |
Specific hook knife + Kirschner's guide | 2 mm | Boston score Grip test |
22.5 mo | 0 (1 recurrence 14 mo) |
Petrover et al 2017 9 | 129 | Monocentric, open Interventional ultrasound block |
UCTR Under the FR Retrograde section Wrist flexion crease 5.8 ± 2.4 min |
Hook knife | 2 mm | Boston score MRI |
6 mo | 0 |
Abbreviations: FR, flexor retinaculum; MRI, magnetic resonance imaging; UCTR, ultrasound-guided carpal tunnel release.