ULTRASOUND-GUIDED HYDRODISSECTION IN MEDIAN NERVE ENTRAPMENT NEUROPATHIES: DIFFERENCES IN EVIDENCE AND OUTCOMES BETWEEN CARPAL TUNNEL SYNDROME AND PROXIMAL COMPRESSION SITES. A NARRATIVE REVIEW
DOI:
https://doi.org/10.31435/ijitss.2(50).2026.5678Keywords:
Ultrasound-Guided Hydrodissection, Carpal Tunnel Syndrome, Pronator Teres Syndrome, Peripheral Nerve Entrapment, Steroid, Platelet-Rich Plasma, and 5% DextroseAbstract
Introduction: Ultrasound-guided hydrodissection (HD) has emerged as a promising and minimally invasive treatment for peripheral nerve entrapment syndromes, especially carpal tunnel syndrome (CTS). While there is increasing evidence supporting efficacy of HD in treating CTS, its role in more proximal median nerve (MN) entrapment neuropathies, as pronator teres syndrome (PTS), has not been well established.
Purpose: The aim of this narrative review was to summarize the current evidence on the efficacy and safety of ultrasound-guided hydrodissection in median nerve entrapment neuropathies, focusing on its use in CTS and PTS.
Methodology: A narrative review of the literature was conducted using Google Scholar and PubMed, focusing on recent systematic reviews, randomized controlled trials, cohort studies, and case series published up to 2026 that evaluated ultrasound-guided hydrodissection in median nerve entrapments.
Conclusions: Considerable evidence supports the use of HD in CTS, with multiple randomized controlled trials demonstrating improvements in pain, symptom severity, and functional outcomes. In contrast, evidence for proximal median nerve entrapments remains limited and is restricted mostly to the case reports. Further high-quality studies are essential to establish the effectiveness of HD across different anatomical locations of median nerve compression.
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Copyright (c) 2026 Natalia Rządzińska, Aleksandra Maria Błoch, Kornelia Julia Fimiarz, Aleksandra Katarzyna Kłosowicz, Aleksandra Olga Pakulska, Maria Anna Miller, Aleksandra Jolanta Kamińska
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