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The new surgical approach is summarized in five easy steps: the STEP I: take the material; STEP II: perform a US scanning of the tarsal tunnel; STEP III: make the US-hydrodissection with the 20 gauge needle and the syringe; STEP IV: using the needle as a guide, we introduce the V-shapes in increasing order of size; STEP V: with the hook knife, we make the release of the flexor retinaculum
