Abstract：
Hydrodissection is becoming increasingly recognized as a treatment for nerve entrapment syndromes in the orthopedic and rehabilitation world. Carpal Tunnel Syndrome (CTS) is the most prevalent nerve entrapment neuropathy, characterized by compression of the median nerve as it passes through the carpal tunnel. Initial management includes NSAIDs and wrist splints, but surgical intervention is often necessary when these measures fail. Ultrasound-guided hydrodissection of the median nerve is both safe and effective and presents a minimally invasive option when first-line treatments fail to provide adequate symptom relief. This case report demonstrates the potential for an alternative approach to analgesia in the Emergency Department (ED) for patients presenting with pain related to CTS. Here we discuss a case of a 26-year-old female presenting with CTS symptoms and her successful treatment with ultrasound-guided hydrodissection in the ED.
摘要：
在矫形外科和康复界，液压解剖越来越被认为是神经卡压综合征的治疗方法。腕管综合征（CTS）是最常见的神经卡压神经病，其特征是正中神经在通过腕管时受到压迫。初始管理包括NSAIDs和手腕夹板，但是当这些措施失败时，通常需要手术干预。超声引导下正中神经的水解剖既安全又有效，并且在一线治疗无法提供足够的症状缓解时提供了微创选择。此病例报告表明，在急诊科（ED）中，对于出现与CTS相关的疼痛的患者，有可能采用替代的镇痛方法。在这里，我们讨论了一例26岁女性出现CTS症状的病例，以及她在ED中通过超声引导下的水解剖成功治疗的情况。
