Ultrasound-Guided Carpal Tunnel Release Using Dynamic Expansion of the Transverse Safe Zone in a Patient With Postpolio Syndrome: A Case Report

Troy Henning; Daniel Lueders; Kate Chang; Lynda Yang

doi:10.1016/j.pmrj.2018.02.016

Ultrasound-Guided Carpal Tunnel Release Using Dynamic Expansion of the Transverse Safe Zone in a Patient With Postpolio Syndrome: A Case Report

PM R. 2018 Oct;10(10):1115-1118. doi: 10.1016/j.pmrj.2018.02.016. Epub 2018 Mar 6.

Authors

Troy Henning¹, Daniel Lueders², Kate Chang³, Lynda Yang³

Affiliations

¹ Swedish Medical Group, Swedish Spine, Sports and Musculoskeletal Medicine, 1600 E. Jefferson Street, Suite 300, Seattle, WA 98122.
² Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI.
³ Department of Neurosurgery, University of Michigan, Ann Arbor, MI.

PMID: 29518587
DOI: 10.1016/j.pmrj.2018.02.016

Abstract

The prevalence of carpal tunnel syndrome (CTS) in patients with postpolio syndrome occurs at a rate of 22%. Irrespective of those with CTS, 74% of postpolio patients weight bear through their arms for ambulation or transfers. As open carpal tunnel release is performed along the weight-bearing region of the wrist, their functional independence may be altered while recovering. This case demonstrates that ultrasound-guided carpal tunnel release was successfully performed in a patient with postpolio syndrome allowing him to immediately weight bear through his hands after the procedure so he could recover at home. LEVEL OF EVIDENCE: V.

Publication types

Case Reports

MeSH terms

Aged
Carpal Tunnel Syndrome / complications
Carpal Tunnel Syndrome / diagnosis
Carpal Tunnel Syndrome / surgery*
Decompression, Surgical / methods*
Follow-Up Studies
Humans
Male
Median Nerve / diagnostic imaging*
Median Nerve / surgery
Postpoliomyelitis Syndrome / complications
Postpoliomyelitis Syndrome / diagnosis*
Recovery of Function
Risk Assessment
Surgery, Computer-Assisted*
Treatment Outcome
Ultrasonography, Doppler / methods