USGCTR (Carpal Tunnel Release)
We perform USGCTR, or Ultrasound-Guided Carpal Tunnel Release, at Maguire Upper Limb. USGCTR is an Ultra-Minimally Invasive Technique. The procedure is performed under local anesthesia using a WALANT technique, making it a highly safe procedure. The method uses ultrasound guidance and utilises extremely small instrumentation via a 1-2mm puncture wound at the wrist.
A prospective randomised controlled trial demonstrated that the USGCTR technique, which we utilise at Maguire Upper Limb, resulted in a 5-fold faster return to regular daily activity compared to mini-open CTR. Click here to see this study.
USGCTR allows patients to resume normal activity and manual work faster than after traditional Open Carpal Tunnel Release. This wide-awake surgery is much safer for elderly patients. The Ultra Minimally Invasive Technique is preferred by athletes such as cyclists, as they can return to sport and training much sooner. Please watch the video below to gain a better understanding of the procedure.
Ultrasound Guided Carpal Tunnel Release Incision
Open Carpal Tunnel Incision
ECTR Incision
The videos below show what the doctor sees on ultrasound during an Ultrasound-Guided Carpal Tunnel Release.
This video below shows the Hook Knide cutting the Transverse Carpal Ligament.
This video below demonstrates the expansion of the carpal tunnel space after flushing it with normal saline fluid!
It is crucial to confirm the complete release of the Transverse Carpal Ligament with this step.