Skip to main content

Ventral Wrist Disorders

  • Chapter
  • First Online:
Clinical Guide to Musculoskeletal Medicine

Abstract

Disorders of the ventral wrist are relatively common because of the high frequency of carpal tunnel syndrome (CTS). In this chapter, we will review this clinical diagnosis, common rehabilitation, and procedural and surgical intervention for treatment of carpal tunnel syndrome. In addition, newer percutaneous decompressive treatment and regenerative options are also discussed. Additional information on this topic can be also found in Chap. 55.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Wang L. Guiding treatment for carpal tunnel syndrome. Phys Med Rehabil Clin N Am. 2018;29(4):751–60.

    Article  Google Scholar 

  2. Kothari M. Carpal tunnel syndrome: clinical manifestations and diagnosis. UpToDate. UpToDate, Waltham, MA. Accessed 1 Apr 2021.

    Google Scholar 

  3. Elnady B, Rageh EM, Ekhouly T, Fathy SM, Alshaar M, Fouda ES, et al. Diagnostic potential of ultrasound in carpal tunnel syndrome with different etiologies: correlation of sonographic median nerve measures with electrodiagnostic severity. BMC Musculoskelet Disord. 2019;20(1):634.

    Article  CAS  Google Scholar 

  4. Chesterton LS, Blagojevic-Bucknall M, Burton C, Dziedzic KS, Davenport G, Jowett SM, et al. The clinical and cost-effectiveness of corticosteroid injection versus night splints for carpal tunnel syndrome (INSTINCTS trial): an open-label, parallel group, randomised controlled trial. Lancet. 2018;392(10156):1423–33.

    Article  Google Scholar 

  5. Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, et al. Ultrasound-guided nerve hydrodissection for pain management: rationale, methods, current literature, and theoretical mechanisms. J Pain Res. 2020;13:1957–68.

    Article  CAS  Google Scholar 

  6. Catapano M, Catapano J, Borschel G, Alavinia SM, Robinson LR, Mittal N. Effectiveness of platelet-rich plasma injections for nonsurgical management of carpal tunnel syndrome: a systematic review and meta-analysis of randomized controlled trials. Arch Phys Med Rehabil. 2020;101(5):897–906.

    Article  Google Scholar 

  7. Dong C, Sun Y, Qi Y, Zhu Y, Wei H, Wu D, et al. Effect of platelet-rich plasma injection on mild or moderate carpal tunnel syndrome: an updated systematic review and meta-analysis of randomized controlled trials. Biomed Res Int. 2020;2020:5089378.

    PubMed  PubMed Central  Google Scholar 

  8. Malahias MA, Chytas D, Mavrogenis AF, Nikolaou VS, Johnson EO, Babis GC. Platelet-rich plasma injections for carpal tunnel syndrome: a systematic and comprehensive review. Eur J Orthop Surg Traumatol. 2019;29(1):1–8.

    Article  Google Scholar 

  9. Trull-Ahuir C, Sala D, Chismol-Abad J, Vila-Caballer M, Lison JF. Efficacy of platelet-rich plasma as an adjuvant to surgical carpal ligament release: a prospective, randomized controlled clinical trial. Sci Rep. 2020;10(1):2085.

    Article  CAS  Google Scholar 

  10. Amini D. Occupational therapy interventions for work-related injuries and conditions of the forearm, wrist, and hand: a systematic review. Am J Occup Ther. 2011;65(1):29–36.

    Article  Google Scholar 

  11. Wu YT, Ho TY, Chou YC, Ke MJ, Li TY, Huang GS, et al. Six-month efficacy of platelet-rich plasma for carpal tunnel syndrome: a prospective randomized, single-blind controlled trial. Sci Rep. 2017;7(1):94.

    Article  Google Scholar 

  12. Henning PT, Yang L, Awan T, Lueders D, Pourcho AM. Minimally invasive ultrasound-guided carpal tunnel release: preliminary clinical results. J Ultrasound Med. 2018;37(11):2699–706.

    Article  Google Scholar 

  13. Rojo-Manaute JM, Capa-Grasa A, Chana-Rodriguez F, Perez-Mananes R, Rodriguez-Maruri G, Sanz-Ruiz P, et al. Ultra-minimally invasive ultrasound-guided carpal tunnel release: a randomized clinical trial. J Ultrasound Med. 2016;35(6):1149–57.

    Article  Google Scholar 

  14. Chappell CD, Beckman JP, Baird BC, Takke AV. Ultrasound (US) changes in the median nerve cross-sectional area after microinvasive US-guided carpal tunnel release. J Ultrasound Med. 2020;39(4):693–702.

    Article  Google Scholar 

  15. Hebbard PD, Hebbard AIT, Tomka J, Appleyard R. Ultrasound-guided microinvasive carpal tunnel release using a novel retractable needle-mounted blade: a cadaveric study. J Ultrasound Med. 2018;37(8):2075–81.

    Article  Google Scholar 

  16. Joseph AE, Leiby BM, Beckman JP. Clinical results of ultrasound-guided carpal tunnel release performed by a primary care sports medicine physician. J Ultrasound Med. 2020;39(3):441–52.

    Article  Google Scholar 

  17. Guo D, Guo D, Guo J, Schmidt SC, Lytie RM. A clinical study of the modified thread carpal tunnel release. Hand (N Y). 2017;12(5):453–60.

    Article  Google Scholar 

  18. Kamel SI, Freid B, Pomeranz C, Halpern EJ, Nazarian LN. Minimally invasive ultrasound-guided carpal tunnel release improves long-term clinical outcomes in carpal tunnel syndrome. AJR Am J Roentgenol. 2021;217(2):460–8.

    Article  Google Scholar 

  19. Leiby BM, Beckman JP, Joseph AE. Long-term clinical results of carpal tunnel release using ultrasound guidance. Hand (N Y) 2021:1558944720988080. https://doi.org/10.1177/1558944720988080

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Elmore, C., Sussman, W.I., Rousakis, R., Berrigan, W.A., Mautner, K., Cassidy, C. (2022). Ventral Wrist Disorders. In: Mostoufi, S.A., George, T.K., Tria Jr., A.J. (eds) Clinical Guide to Musculoskeletal Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-92042-5_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-92042-5_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-92041-8

  • Online ISBN: 978-3-030-92042-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics