Thread Carpal Tunnel Release: Step-by-Step Procedure Animation
An animated, step-by-step look at Thread Carpal Tunnel Release (TCTR, the Guo Technique), narrated by Dr. Dashe: local anesthetic, ultrasound finding the transverse carpal ligament and the median nerve beneath it, a thread passed beneath and then over the ligament, and the ligament divided. No incision, no stitches, two poke holes.
Transcript
A thread carpal tunnel release begins with local anaesthetic. Ultrasound finds the transverse carpal ligament, and the median nerve beneath it. A needle passes beneath the ligament, clear of the nerve. A second pass over the ligament loops the thread around it. Pulling the ends divides the ligament, and the nerve is released. No incision. No stitches. Two poke holes.