Ultrasound guided minimally invasive interventions can effectively treat common painful hand and wrist conditions like carpal tunnel syndrome, trigger finger, and de Quervain's disease. For carpal tunnel syndrome, a study of 129 patients found 100% had relief of symptoms after ultrasound-guided injections with no complications. For trigger finger, ultrasound-guided injections and partial releases provided relief in 81.7% of patients at 6-month follow up. For de Quervain's disease, ultrasound-guided injections and releases led to 91.4% relief within 1 month and no recurrences at 6-month follow up. The techniques allow for accurate needle placement and treatment of these painful conditions with minimal invasiveness and good patient outcomes.

1. NTUH TUH

2. Ultrasound Guided Minimally Invasive
Interventions for the Common Painful
Conditions of the Hand and Wrist

3. Carpal Tunnel Syndrome
Trigger finger
DQ disease

4. Needle visualization

7. Carpal Tunnel Syndrome

13. 129 patients-Boston Q 0,1,6. MRI 0,1. 100% 0%

18. Trigger finger

21. 10 procedures on Cad/ 6048 patients, 81.7% .
Partial release. 11 US guided CS, 6 mo follow up, 2
moderate triggering. 0%

25. De Quervain disease
of the wrist

28. 1st compartment

33. 35 procedures 32/35 91.4%,within 1 month, 6 mo follow up
Incomplete release. 0%. Cad.10 wrists

37. "May the Force be with you"