Procedure of TCTR Under the real-time guidance of ultrasound, a spinal needle is inserted at the palm of the hand and advanced underneath the transverse carpal ligament (TCL) and exiting at the wrist. Through this needle, a fine smooth<unk>  (0.2 mm in diameter) is fed. The needle is inserted again in the same fashion over the TCL and the<unk>  is again looped through back out of the original needle entry. The<unk>  surrounds the TCL and is manipulated in a back and forth motion to divide the TCL. Once complete, the<unk>  is removed and two small bandages are placed on the needle puncture sites. The procedure takes 10 minutes in a clinic based office.<unk>  The frictional effect of a sliding<unk>  can cut tissue. This effect is more moderate than the abrasive effect found when using, for example, a wire saw. The frictional division of soft tissue concentrates the shear forces into the targeted tissue, resulting in significantly less collateral damage to adjacent anatomic structures than can be caused by the plowing and cutting of abrasive dividing.<unk>  can be used to divide soft tissue in minimally invasive surgeries due to its unique properties: The flexibility of<unk>  allows it to be routed along a designated path to form a loop around the targeted tissue that precisely controls the division. The nature of<unk>  transection ensures that tissue is divided only inside the loop of<unk>  around the targeted tissue without injuring adjacent non-targeted tissues.<unk>  can be easily placed using a spinal needle with only two punctures as entry and exit for the<unk> . Precise looping or routing is essential to the safe and effective use of a dividing<unk> . Precise routing is achieved percutaneously by use of real-time ultrasound guidance.
Thread carpal tunnel release
Sciatic nerve block
Carpal tunnel surgery
Endoscopic carpal tunnel release
Myofascial release
Intervertebral disc annuloplasty
Intervertebral disc arthroplasty
Occipital cryoneurolysis