Dergiler / Joint diseases and related surgery / 2020 / Cilt: 31 - Sayı: 1

Epineural Ganglion Causing Cubital Tunnel Syndrome: A Case Report

Sayfa
154–158
Yayın Tarihi
2022-10-19
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Magnetic resonance imagingshould be requested for accurate diagnosis and preoperativesurgical planning.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Although ganglions are the most common cause of ulnar tunnelsyndrome, they are one of the rare causes of cubital tunnelsyndrome (CuTS).
📊
Temel Bulgular & Veri:In this article, we report a 49-year-old femalepatient admitted to the outpatient clinic complaining of numbnessand tingling in the ring and little fingers of the right hand.
💡
Sonuç & Katkı:Magnetic resonance imagingshould be requested for accurate diagnosis and preoperativesurgical planning.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Although ganglions are the most common cause of ulnar tunnelsyndrome, they are one of the rare causes of cubital tunnelsyndrome (CuTS). In this article, we report a 49-year-old femalepatient admitted to the outpatient clinic complaining of numbnessand tingling in the ring and little fingers of the right hand. Therewas no history of systemic disease or previous trauma. The patientwas diagnosed with CuTS in the light of clinical examination andnerve conduction studies. Simple cubital tunnel decompression wasperformed under general anesthesia and microsurgical explorationrevealed a 2¥2 cm epineural ganglion cyst compressing the ulnarnerve. The cyst was excised without damaging the ulnar nerve andcutaneous nerves. Histopathology also confirmed the ganglioncyst. In the postoperative period, the patient's clinical improvementwas more satisfactory than nerve conduction studies. The diagnosisof CuTS is established by physical examination, provocative test,and nerve conduction studies. In patients who cannot achieve asatisfactory outcome by conservative treatment, the cyst should bekept in mind among etiologic factors. Magnetic resonance imagingshould be requested for accurate diagnosis and preoperativesurgical planning.

🔖

Bu Makaleye Atıf Yap

AKDAĞ, G., ALP, N. B. (2022). Epineural Ganglion Causing Cubital Tunnel Syndrome: A Case Report. Joint diseases and related surgery, Cilt: 31 - Sayı: 1, 154–158. https://ajindex.com/articles/559302

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (11)

  1. Yoon JS, Walker FO, Cartwright MS. Ulnar neuropathy with normal electrodiagnosis and abnormal nerve ultrasound. Arch Phys Med Rehabil 2010;91:318-20. Lowe JB 3rd, Novak CB, Mackinnon SE. Current approach to cubital tunnel syndrome. Neurosurg Clin N Am 2001;12:267-84.
  2. Kuschner SH, Gelberman RH, Jennings C. Ulnar nerve compression at the wrist. J Hand Surg Am 1988;13:577-80. Tindall SC. Ganglion cysts of peripheral nerves. In: Wilkins RH, Rengachary SS, editors. Neurosurgery. 2nd ed. New York: Mc Graw-Hill; 1996. p. 3225. Atik OŞ. Is there something new and interesting in my article? Eklem Hastalik Cerrahisi 2019;30:69. An TW, Evanoff BA, Boyer MI, Osei DA. The prevalence of cubital tunnel syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort. J Bone Joint Surg [Am] 2017;99:408-16.
  3. Kato H, Hirayama T, Minami A, Iwasaki N, Hirachi K. Cubital tunnel syndrome associated with medial elbow Ganglia and osteoarthritis of the elbow. J Bone Joint Surg [Am] 2002;84:1413-9.
  4. Ferlic DC, Ries MD. Epineural ganglion of the ulnar nerve at the elbow. J Hand Surg Am 1990;15:996-8.
  5. Hsu RW, Chen CY, Shen WJ. Ulnar nerve palsy due to concomitant compression by the anconeus epitrochlearis muscle and a ganglion cyst. Orthopedics 2004;27:227-8.
  6. Ming Chan K, Thompson S, Amirjani N, Satkunam L, Strohschein FJ, Lobay GL. Compression of the ulnar nerve at the elbow by an intraneural ganglion. J Clin Neurosci 2003;10:245-8.
  7. Li P, Lou D, Lu H. The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: a case report. BMC Neurol 2018;18:217. Boursinos LA, Dimitriou CG. Ulnar nerve compression in the cubital tunnel by an epineural ganglion: a case report. Hand (N Y) 2007;2:12-5.
  8. Sharma RR, Pawar SJ, Delmendo A, Mahapatra AK. Symptomatic epineural ganglion cyst of the ulnar nerve in the cubital tunnel: a case report and brief review of the literature. J Clin Neurosci 2000;7:542-3.
  9. Sinha S, Pinder RM, Majumder S. The largest reported epineural ganglion of the ulnar nerve causing cubital tunnel syndrome: case report and review of the literature. J Plast Reconstr Aesthet Surg 2013;66:e23-5. Komatsu M, Uchiyama S, Kimura T, Suenaga N, Hayashi M, Kato H. Recurrent cubital tunnel syndrome caused by ganglion: A report of nine cases. J Hand Surg Asian Pac Vol 2018;23:210-6.
  10. Pham M, Bendszus M. MRI as an additional diagnostic tool for the cubital tunnel syndrome. Handchir Mikrochir Plast Chir 2009;41:18-22.
  11. Allieu PY, Cenac PE. Peripheral nerve mucoid d