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dc.contributor.authorDavies, Joseph
dc.contributor.authorFallon, Valerie
dc.contributor.authorKyaw Tun, Jimmy
dc.date.accessioned2019-06-26T15:30:06Z
dc.date.available2019-06-26T15:30:06Z
dc.date.issued2019-06
dc.identifier259383354
dc.identifierb9af8781-de7d-4245-9cbb-775282d28763
dc.identifier85058934068
dc.identifier.citationDavies , J , Fallon , V & Kyaw Tun , J 2019 , ' Ultrasound-guided percutaneous compartment release : a novel technique, proof of concept, and clinical relevance ' , Skeletal Radiology , vol. 48 , no. 6 , pp. 959-963 . https://doi.org/10.1007/s00256-018-3134-yen
dc.identifier.issn0364-2348
dc.identifier.urihttps://hdl.handle.net/10023/17974
dc.description.abstractObjective 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.
dc.format.extent4
dc.format.extent1463933
dc.language.isoeng
dc.relation.ispartofSkeletal Radiologyen
dc.subjectUltrasounden
dc.subjectCompartment syndromeen
dc.subjectMinimally invasiveen
dc.subjectThread Releaseen
dc.subjectRC Internal medicineen
dc.subjectNDASen
dc.subject.lccRCen
dc.titleUltrasound-guided percutaneous compartment release : a novel technique, proof of concept, and clinical relevanceen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doihttps://doi.org/10.1007/s00256-018-3134-y
dc.description.statusPeer revieweden


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