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. 2018 Nov 5;35(4):248–254. doi: 10.1055/s-0038-1673360

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.