Journals / Turkish Neurosurgery / 2011 / Cilt: 21 - Sayı: 3

Rekürren karpal tünel sendromuna bağlı Guyon kanalında ulnar sinir tuzaklanması: Olgu sunumu

Ulnar nerve entrapment in guyon's Canal due to recurrent carpal tunnel syndrome: Case report

Pages
435–437
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this paper, we presented a patient with ulnar nerve entrapment associated with recurrent CTS and discussed the possible pathomechanism with a review of current literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Guyon's canal syndrome is a compression neuropathy of the ulnar nerve entrapment at the wrist.
📊
Key Findings & Data:Compression of the ulnar nerve at the wrist by a ganglion, lipomas, diseases of the ulnar artery, fractures of the hamate and trauma are common etiologcal factors.
💡
Conclusion & Impact:In this paper, we presented a patient with ulnar nerve entrapment associated with recurrent CTS and discussed the possible pathomechanism with a review of current literature.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Guyon's canal syndrome is a compression neuropathy of the ulnar nerve entrapment at the wrist. Compression of the ulnar nerve at the wrist by a ganglion, lipomas, diseases of the ulnar artery, fractures of the hamate and trauma are common etiologcal factors. Unlike Guyon's canal syndrome, carpal tunnel syndrome (CTS) is the most common nerve entrapment of the upper extremity. Although, open (OCTR) or endoscopic carpal tunnel release (ECTR) is highly effective in relieving pain, failure with carpal tunnel release is seldom seen. In this paper, we presented a patient with ulnar nerve entrapment associated with recurrent CTS and discussed the possible pathomechanism with a review of current literature.

Özet

Guyon kanalı sendromu ulnar, sinirin el bileğindeki basısına bağlı olarak gelişen bir tuzak nöropatisidir. Bası sebepleri arasında ganglion, lipom, ulnar arter hastalıkları, hamat kırıkları ve travma yaygın olarak bulunur. Karpal tünel sendromu ise üst ekstremitelerin en sık izlenen sinir tuzaklanmasıdır. Açık ya da endoskopik olarak yapılan karpal tünel serbestleştirilmesi ağrıyı azaltmada oldukça etkili olsa da, serbestleştirmede başarısız sonuçlar da nadir olarak izlenmektedir. Bu yazıda, rekürren karpal tünel sendromu ile birlikte gelişen bir ulnar sinir tuzaklanmasını sunduk ve olası patomekanizmayı literatür eşliğinde tartıştık.

🔖

Cite This Article

ÖZDEMİR, Ö., ÇALIŞKANELLER, T., GÜLŞEN, S., CANER, H. (2011). Rekürren karpal tünel sendromuna bağlı Guyon kanalında ulnar sinir tuzaklanması: Olgu sunumu. Turkish Neurosurgery, Cilt: 21 - Sayı: 3, 435–437. https://ajindex.com/articles/417770

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Aguiar PH, Bor-Seng-Shu E, Gomes-Pinto F, Almeida- Leme RJ, Freitas AB, Martins RS, Nakagawa ES, Tedesco-Marchese AJ: Surgical management of Guyon’s canal syndrome, an ulnar nerve entrapment at the wrist: Report of two cases. Arq Neuropsiquiatr 59(1):106-11, 2001 2. Amadio PC: The first carpal tunnel release? J Hand Surg (Br) 20:40–41, 1995 3. Braun RM, Rechnic M, Fowler E: Complications related to carpal tunnel release. Hand Clin 18:347–357, 2002 4. Bui-Mansfield LT, Williamson M, Wheeler DT, Johnstone F: Guyon’s canal lipoma causing ulnar neuropathy. AJR Am J Roentgenol 178(6): 1458, 2002 5. Bury TF, Akelman E, Weiss AP: Prospective, randomized trial of splinting after carpal tunnel release. Ann Plast Surgery 35(1), 19–22, 1995 6. Craft RO, Duncan SF, Smith AA: Management of recurrent carpal tunnel syndrome with microneurolysis and the hypothenar fat pad flap. Hand (N Y) 2(3):85-89, 2007 7. Emel E, Guzey FK, Alatas I: Guyon’s canal syndrome due to a tortuous ulnar artery: A case report. Turkish Neurosurgery 13: 107-110, 2003 8. Favero KJ, Gropper PT: Ulnar nerve laceration-a complication of carpal tunnel decompression: Case report and review of the literature. J Hand Surg (Br) 12:239 –241, 1987 9. Ginanneschi F, Milani P, Mondelli M, Dominici F, Biasella A, Rossi A: Ulnar sensory nerve impairment at the wrist in carpal tunnel syndrome. Muscle Nerve 37(2):183-189, 2008 10. Gozke E, Dortcan N, Kocer A, Cetinkaya M, Akyuz G, Us O: Ulnar nerve entrapment at wrist associated with carpal tunnel syndrome. Neurophysiol Clin 33(5):219-222, 2003 11. Jimenez DF, Gibbs SR, Clapper AT: Endoscopic treatment of carpal tunnel syndrome: A critical review. J Neurosurg 88(5):817-826, 1998 12. Kiritsis PG, Kline SC: Biomechanical changes after carpal tunnel release: A cadaveric model for comparing open, endoscopic, and step-cut lengthening techniques. J Hand Surg (Am) 20(2): 173–180, 1995 13. Palmer DH, Hanrahan LP: Social and economic costs of carpal tunnel surgery. Instr Course Lect 44:167-172, 1995 14. Rengachary SS, Arjunan K: Compression of the ulnar nerve in Guyon’s Canal by a soft tissue giant cell tumor. Neurosurgery 8(3): 400-405, 1981 15. Shu N, Uchio Y, Ryoke K, Yamamoto S, Oae K, Ochi M: Atypical compression of the deep branch of the ulnar nerve in Guyon’s canal by a ganglion. Case report. Scand J Plast Reconstr Surg Hand Surg 34:181-183, 2000 16. Subin GD, Mallon WJ, Urbaniak JR: Diagnosis of ganglion in Guyon’s canal by magnetic resonance imaging. Hand Surg