2022 Workshop Handout Bundle-Advanced Sonographic Needle guidance for Carpal Tunnel Injections

Advanced Sonographic Needle guidance for Carpal Tunnel Injections

Pdf Summary

The document discusses the use of advanced sonographic needle guidance for carpal tunnel injections. The objectives of the workshop are to explain the sonoanatomy of the carpal tunnel and adjacent structures, discuss approaches for sonographic needle imaging, compare US-guided and "blind method" injections, distinguish structural abnormalities and common anatomical variations that may affect the procedure, and demonstrate the technique of US-guided carpal tunnel injection.<br /><br />Carpal tunnel syndrome (CTS) is a common condition, and corticosteroid injections are a well-accepted treatment. However, there are risks involved, such as median nerve injury. Ultrasound guidance provides real-time visualization of the needle, precise positioning near the median nerve, and avoidance of neurovascular injuries.<br /><br />The document provides detailed sonoanatomy of the carpal tunnel, including bony landmarks and structures like the median nerve, tendons, and blood vessels. The use of high-frequency linear transducers for visualization is discussed.<br /><br />The general principles of ultrasound-guided injections are explained, including in-plane and out-of-plane needle approaches, transverse versus longitudinal views, and ulnar versus radial approaches.<br /><br />The document also includes indications and contraindications for carpal tunnel injections, a comparison of US-guided versus blind injections, and a technique for performing US-guided carpal tunnel injections.<br /><br />Billing and coding information is provided, and the importance of proper documentation is emphasized.<br /><br />Overall, the document provides comprehensive information on the use of advanced sonographic needle guidance for carpal tunnel injections, highlighting the benefits and techniques of this procedure.

Keywords

advanced sonographic needle guidance

carpal tunnel injections

sonoanatomy

sonographic needle imaging

US-guided injections

blind method injections

structural abnormalities

anatomical variations

US-guided carpal tunnel injection

corticosteroid injections