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Carpal tunnel syndrome perineural infiltration median nerve

Carpaltunnel proximal transverse

Patient Positioning

Patient seated in front of the examiner, hand palm up resting on a examination table.

Probe Positioning

Place the transducer on a transverse plane over the proximal carpal tunnel - bony landmarks are: the pisiform ulnar and the scaphoid tubercle radial.

Carpaltunnel distal transverse

Patient Positioning

Patient seated in front of the examiner, hand palm up resting on a examination table.

Probe Positioning

Place the transducer on a transverse plane over the proximal carpal tunnel- bony landmarks are: the pisiform ulnar and the scaphoid tubercle radial. Then move the probe distally on transverse planes to the level of the trapezium tubercle (radial) and the hamate hook (ulnar).

perineural ultrasound guided infiltration of the median nerve in a patient with carpal tunnel syndrome