Ultrasound-guided release of the fibro-osseous tunnels around the wrist and hand: A technical review.

Fibro-osseous tunnels allow the unhindered passage of the neurovascular bundle and sliding tendons across the mobile joint. Release of the fibro-osseous tunnels is performed for entrapment neuropathy and stenosing tenosynovitis which occur as a result of increase in the volume/pressure within these tunnels. The common surgical principle in all these pathologies is releasing the pressure by transecting the fascial covering.

Ultrasound-Guided Partial Release of Transverse Carpal Ligament in Severe Carpal Tunnel Syndrome Using a Curved Needle.

Ultrasound (US) is an excellent tool for diagnosis and management of carpal tunnel syndrome (CTS). Severe, recalcitrant CTS is an indication for complete release of the transverse carpal ligament (TCL). However, complete TCL release may be associated with postprocedural pillar pain.

Modified thermal modulation for safe radiofrequency ablation of spinal osteoid osteoma: a pilot study.

Purpose: In our pilot study, we modified the temperature and duration of radiofrequency ablation of spinal osteoid osteoma to minimize the risk of neural damage without compromising adequate ablation.

Methods: Seven patients were enrolled in this study after obtaining written informed consent. RFA was done in prone position under CT-guidance (256-slice Siemens Somatom scanner) under general anesthesia.

Seven Golden Steps for Performing Safe and Effective Percutaneous C-Arm-Guided Vertebral Intervention.

Percutaneous C-arm-guided diagnostic or therapeutic vertebral intervention has advantages of real-time monitoring of needle progression in vertebrae in craniocaudal or caudocranial angulation. To minimize the complications of nerve root or spinal cord damage, stepwise methodical intervention is pertinent. In this technical report, we demonstrate the seven golden steps for a safe and effective C-arm-guided vertebral intervention.

Assessment of neurovascular bundle involvement by an extremity sarcoma on MRI: a critical decision for sarcoma surgeon.

Bone or soft tissue sarcoma of the extremity represents a varied group of mesenchymal tumors, with an extensive range of histopathology, epidemiology, and anatomical involvement. Many of these tumors grow to involve the adjacent major neurovascular bundles, leading to a paradigm shift of management between limb salvage and limb amputation. MRI is the gold standard imaging modality for assessing neurovascular involvement, primarily on T2-weighted fat suppressed (T2 W FS) axial and T1-weighted (T1 W) axial sequences.