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Sonographically Guided Carpal Tunnel Injections
Author(s) -
Smith Jay,
Wisniewski Steve J.,
Finnoff Jonathan T.,
Payne Jeffrey M.
Publication year - 2008
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2008.27.10.1485
Subject(s) - medicine , carpal tunnel syndrome , carpal tunnel , carpal tunnel release , radiology
Objective. The purpose of this report is to describe a new sonographically guided technique for carpal tunnel injections using an ulnar approach. Methods. Previously published sonographically guided techniques for carpal tunnel injections were reviewed. Described approaches were noted to be technically challenging because of the need to perform long‐axis imaging of the carpal tunnel, short‐axis (out‐of‐plane) imaging of the needle, or both. Results. We developed and herein describe the ulnar approach for sonographically guided carpal tunnel injections. Advantages of this approach include transverse imaging of the carpal tunnel, long‐axis (in‐plane) imaging of the needle, and versatility in targeting structures within the carpal tunnel. Conclusions. Clinicians should consider the ulnar‐sided approach when performing sonographically guided carpal tunnel injections.