Ultrasound-guided percutaneous compartment release: a novel technique, proof of concept, and clinical relevance

Joseph Davies; Valerie Fallon; Jimmy  Kyaw Tun

doi:10.1007/s00256-018-3134-y

Ultrasound-guided percutaneous compartment release: a novel technique, proof of concept, and clinical relevance

Joseph Davies, Valerie Fallon, Jimmy Kyaw Tun

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Objective Ultrasound-guided thread release (USGTR) is a minimally invasive technique with excellent clinical outcomes currently used in clinical practice to divide the transverse carpal ligament in carpal tunnel syndrome. The purpose of this study is to determine whether this technique can be modified for use in large anatomical compartments in soft embalmed cadaveric models.

Materials and methods Two operators adapted the USGTR technique for use in muscular compartments of the forearms and legs in a single soft embalmed cadaver. An iterative approach was used to adapt and improve the technique for use in large compartments, using equipment readily available in most radiology departments.

Results The USGTR technique was successfully modified and both operators were able to accurately divide fascial layers over distances of up to 30 cm using the modified technique. Fascial division was confirmed with ultrasound and dissection.

Conclusions This adapted technique can successfully be used to divide fascial planes over longer distances than is currently achieved in clinical practice. The improved outcomes associated with USGTR at the carpal tunnel may therefore also be achievable in fasciotomy procedures in larger anatomical compartments. Further study is required to investigate the effects of this modified USGTR technique on intracompartmental pressure.

Original language	English
Pages (from-to)	959-963
Number of pages	4
Journal	Skeletal Radiology
Volume	48
Issue number	6
Early online date	20 Dec 2018
DOIs	https://doi.org/10.1007/s00256-018-3134-y
Publication status	Published - Jun 2019

Keywords

Ultrasound
Compartment syndrome
Minimally invasive
Thread Release

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Davies2019_Article_Ultrasound-guidedPercutaneous
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Cite this

@article{b9af8781de7d42459cbb775282d28763,

title = "Ultrasound-guided percutaneous compartment release: a novel technique, proof of concept, and clinical relevance",

abstract = "Objective Ultrasound-guided thread release (USGTR) is a minimally invasive technique with excellent clinical outcomes currently used in clinical practice to divide the transverse carpal ligament in carpal tunnel syndrome. The purpose of this study is to determine whether this technique can be modified for use in large anatomical compartments in soft embalmed cadaveric models.Materials and methods Two operators adapted the USGTR technique for use in muscular compartments of the forearms and legs in a single soft embalmed cadaver. An iterative approach was used to adapt and improve the technique for use in large compartments, using equipment readily available in most radiology departments.Results The USGTR technique was successfully modified and both operators were able to accurately divide fascial layers over distances of up to 30 cm using the modified technique. Fascial division was confirmed with ultrasound and dissection. Conclusions This adapted technique can successfully be used to divide fascial planes over longer distances than is currently achieved in clinical practice. The improved outcomes associated with USGTR at the carpal tunnel may therefore also be achievable in fasciotomy procedures in larger anatomical compartments. Further study is required to investigate the effects of this modified USGTR technique on intracompartmental pressure.",

keywords = "Ultrasound, Compartment syndrome, Minimally invasive, Thread Release",

author = "Joseph Davies and Valerie Fallon and {Kyaw Tun}, Jimmy",

year = "2019",

month = jun,

doi = "10.1007/s00256-018-3134-y",

language = "English",

volume = "48",

pages = "959--963",

journal = "Skeletal Radiology",

issn = "0364-2348",

publisher = "Springer",

number = "6",

}

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T1 - Ultrasound-guided percutaneous compartment release

T2 - a novel technique, proof of concept, and clinical relevance

AU - Davies, Joseph

AU - Fallon, Valerie

AU - Kyaw Tun, Jimmy

PY - 2019/6

Y1 - 2019/6

N2 - Objective Ultrasound-guided thread release (USGTR) is a minimally invasive technique with excellent clinical outcomes currently used in clinical practice to divide the transverse carpal ligament in carpal tunnel syndrome. The purpose of this study is to determine whether this technique can be modified for use in large anatomical compartments in soft embalmed cadaveric models.Materials and methods Two operators adapted the USGTR technique for use in muscular compartments of the forearms and legs in a single soft embalmed cadaver. An iterative approach was used to adapt and improve the technique for use in large compartments, using equipment readily available in most radiology departments.Results The USGTR technique was successfully modified and both operators were able to accurately divide fascial layers over distances of up to 30 cm using the modified technique. Fascial division was confirmed with ultrasound and dissection. Conclusions This adapted technique can successfully be used to divide fascial planes over longer distances than is currently achieved in clinical practice. The improved outcomes associated with USGTR at the carpal tunnel may therefore also be achievable in fasciotomy procedures in larger anatomical compartments. Further study is required to investigate the effects of this modified USGTR technique on intracompartmental pressure.

AB - Objective Ultrasound-guided thread release (USGTR) is a minimally invasive technique with excellent clinical outcomes currently used in clinical practice to divide the transverse carpal ligament in carpal tunnel syndrome. The purpose of this study is to determine whether this technique can be modified for use in large anatomical compartments in soft embalmed cadaveric models.Materials and methods Two operators adapted the USGTR technique for use in muscular compartments of the forearms and legs in a single soft embalmed cadaver. An iterative approach was used to adapt and improve the technique for use in large compartments, using equipment readily available in most radiology departments.Results The USGTR technique was successfully modified and both operators were able to accurately divide fascial layers over distances of up to 30 cm using the modified technique. Fascial division was confirmed with ultrasound and dissection. Conclusions This adapted technique can successfully be used to divide fascial planes over longer distances than is currently achieved in clinical practice. The improved outcomes associated with USGTR at the carpal tunnel may therefore also be achievable in fasciotomy procedures in larger anatomical compartments. Further study is required to investigate the effects of this modified USGTR technique on intracompartmental pressure.

KW - Ultrasound

KW - Compartment syndrome

KW - Minimally invasive

KW - Thread Release

U2 - 10.1007/s00256-018-3134-y

DO - 10.1007/s00256-018-3134-y

M3 - Article

SN - 0364-2348

VL - 48

SP - 959

EP - 963

JO - Skeletal Radiology

JF - Skeletal Radiology

IS - 6

ER -

Ultrasound-guided percutaneous compartment release: a novel technique, proof of concept, and clinical relevance

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Keywords

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