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Superficial Versus Deep Local Anesthetic Infiltration in Carpal Tunnel Release

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Ace Report Cover
November 2025

Superficial Versus Deep Local Anesthetic Infiltration in Carpal Tunnel Release

Vol: 307| Issue: 11| Number:43| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Superficial Versus Deep Local Anesthetic Infiltration in Carpal Tunnel Release: A Randomized Clinical Trial.

J Hand Surg Glob Online. 2025 May 21;7(4):100721.

Contributing Authors:
K Billard Y Cheng L Sims D Sauder

Synopsis

Seventy-four participants (eighty procedures) with carpal tunnel syndrome were randomized to deep LA infiltration (n=38) or superficial LA infiltration (n=42). The primary outcome was presence and severity of pain (and tingling) during LA infiltration and during the procedure, assessed immediately post-Carpal tunnel release (CTR). Secondary outcomes included VAS pain at 2, 8, and 24 hours, and Bos...

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