title: Percutaneous ultrasound-guided MANOS carpal tunnel release technique.
abstract: Ultrasound (US) is used with a minimally invasive cutting device to perform carpal tunnel release with a 3 mm wrist incision. US localizes tendons, arteries, and median nerve for safe introduction of the device into the wrist. The device is inserted in a blunt configuration under the flexor retinaculum, and a cutting wire is deployed that advances a 0.9-mm needle in the palm. The surgeon releases the flexor retinaculum from the inside out through the two skin punctures. Flexor retinaculum release is confirmed with US.
authors.affiliation: University of California San Francisco Medical Center, 2000 Van Ness Ave, Suite 204, San Francisco, CA 94109 USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Markison
keywords: Carpal tunnel release; Carpal tunnel syndrome; MANOS; Minimally invasive surgery; Ultrasound