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Fig 1.

Flowchart detailing patient enrollment.

Abbreviations: TCTR, thread carpal tunnel release.

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Table 1.

General characteristics of hands.

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Fig 2.

Standardized technique to determine entry and exit points.

A: Patients’ upper extremity positioned on an arm board. B: Standardizing methods when marking entry and exit points.

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Fig 3.

Ultrasound images of the carpal tunnel visualized during TCTR procedure.

A: Anatomical landmark “duck’s beak”. B: Entry of 18G Tuohy epidural needle. C: Hydrodissection of carpal tunnel. D: Smartwire-01 looped around TCL. Abbreviations: TCL, transverse carpal ligament; MC, metacarpal bone; FDP, flexor digitorum profundus muscle.

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Table 2.

General characteristics of threads.

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Table 2 Expand

Fig 4.

Post-TCTR time-dependent changes of pain and function of patients in the two threads (primary outcomes).

A: NRS scale. B: BCTQ functional scale. C: BCTQ severity scale.

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Table 3.

Early recovery following TCTR: Mean (SD).

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Table 3 Expand

Table 4.

Long term recovery following TCTR: Mean (SD).

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Fig 5.

Ultrasound images of both threads in same settings.

A, green arrows: Loop & Shear. B, yellow arrows: Smartwire-01.

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Fig 6.

Realtime ultrasound images of both threads visualized during TCTR procedure.

A, B: Loop & Shear thread. C, D: Smartwire-01. We could visualize the newly developed thread with higher acuity in ultrasonographic imaging compared to the commercial thread.

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