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The Cubital Tunnel Syndrome with Medial Ganglion Cyst 원문보기

Journal of Korean Neurosurgical Society = 대한신경외과학회지, v.42 no.2, 2007년, pp.141 - 144  

Yoon, Sang-Hoon (Department of Neurosurgery, Seoul National University College of Medicine Boramae Hospital) ,  Hong, Youn-Ho (Department of Neurology, Seoul National University College of Medicine Boramae Hospital) ,  Chung, Young-Seob (Department of Neurosurgery, Seoul National University College of Medicine Boramae Hospital) ,  Yang, Hee-Jin (Department of Neurosurgery, Seoul National University College of Medicine Boramae Hospital)

Abstract AI-Helper 아이콘AI-Helper

The association of medial elbow ganglion cyst with cubital tunnel syndrome has been rarely reported. A 61-year-old man presented with progressive right hypothenar atrophy and paresthesia for 7 months. Ultrasonography and magnetic resonance imaging revealed ulnar nerve entrapment with a cystic gangli...

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제안 방법

  • In order to relieve the nerve compression, surgery was planned. After induction of general anesthesia, anteriorsweeping incision around medial epicondyle was made.
  • Ulnar nerve entrapment rarely coexist with tumorous condition such as ganglion cyst7, 8). This condition further a^ravates ulnar neuropathy This report shows a case of cubital tunnel syndrome caused by ulnar nerve entrapment with medial ganglion cyst and the usefulness of high resolution ultrasonography and magnetic resonance imaging for diagnosis of occult ganglion cyst causing cubital tunnel syndrome.

대상 데이터

  • A 61-year-old man who had suffered with progressive paresthesia on right upper extremity visited our hospital. Tingling sensation on medial two fingers and forearm of ulnar side developed 7 months ago.
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참고문헌 (22)

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  2. Barone CM, Jimenez DF, Frempog-Bodeau A : Blood-flow measurements of injured peripheral nerves by laser Doppler flowmetry. J Reconstr Microsurg 8 : 319-323, 1992 

  3. Boyer M : Simple decompression did not differ from simple decompression plus anterior transposition of the nerve for cubital tunnel syndrome. J Bone Joint Surg Am 88 : 1893, 2006 

  4. Campbell WW : The electrodiagnostic evaluation of patients with ulnar neuropathy at the elbow : Lieterature review of the usefulness of nerve conduction studies and needle electromyography. American Association of Electrodiagnostic Medicine, American Academy of Neurology, American Academy of Physical Medicine and Rehabilitation. Muscle Nerve Suppl 8 : S175-205, 1999 

  5. Chiou HJ, Chou YH, Cheng SP, Hsu CC, Chan RC, Tiu CM, et al : Cubital tunnel syndrome : diagnosis by high-resolution ultrasonography. J Ultrasound Med 17 : 643-648, 1998 

  6. Gervasio O, Gambardella G, Zaccone C, Branca D : Simple decompression versus anterior submuscular transposition of the ulnar nerve in severe cubital tunnel syndrome : a prospective randomized study. Neurosurgery 56 : 108-117; discussion 117, 2005 

  7. 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 84 : 1413-1419, 2002 

  8. Kim DH, Han K, Tiel RL, Murovic JA, Kline DG : Surgical outcomes of 654 ulnar nerve lesions. J Neurosurg 98 : 993-1004, 2003 

  9. Kleinman WB : Cubital tunnel syndrome: anterior transposition as a logical approach to complete nerve decompression. J Hand Surg Am 24 : 886-897, 1999 

  10. Manninger J, Renner A, Zimmermann I : Ganglion in the ulnar nerve sulcus as a cause of ulnar nerve irritation. Handchirurgie 12 : 7-9, 1980 

  11. Martinoli C, Bianchi S, Gandolfo N, Valle M, Simonetti S, Derchi LE : US of nerve entrapments in osteofibrous tunnels of the upper and lower limbs. Radiographics 20 Spec No : S199-213; discussion S213-217, 2000 

  12. Matev B : Cubital tunnel syndrome. Hand Surg 8 : 127-131, 2003 

  13. Morrey BF, An KN : Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11 : 315-319, 1983 

  14. Mowlavi A, Andrews K, Lille S, Verhulst S, Zook EG, Milner S : The management of cubital tunnel syndrome : a meta-analysis of clinical studies. Plast Reconstr Surg 106 : 327-334, 2000 

  15. Muermans S, De Smet L : Partial medial epicondylectomy for cubital tunnel syndrome : Outcome and complications. J Shoulder Elbow Surg 11 : 248-252, 2002 

  16. O'Driscoll SW, Horii E, Carmichael SW, Morrey BF : The cubital tunnel and ulnar neuropathy. J Bone Joint Surg Br 73 : 613-617, 1991 

  17. Osterman AL, Davis CA : Subcutaneous transposition of the ulnar nerve for treatment of cubital tunnel syndrome. Hand Clin 12 : 421- 433, 1996 

  18. Pavelka M, Rhomberg M, Estermann D, Loscher WN, Piza-Katzer H : Decompression without anterior transposition : an effective minimally invasive technique for cubital tunnel syndrome. Minim Invasive Neurosurg 47 : 119-123, 2004 

  19. Robertson C, Saratsiotis J : A review of compressive ulnar neuropathy at the elbow. J Manipulative Physiol Ther 28 : 345, 2005 

  20. Spratt JD, Stanley AJ, Grainger AJ, Hide IG, Campbell RS : The role of diagnostic radiology in compressive and entrapment neuropathies. Eur Radiol 12 : 2352-2364, 2002 

  21. Tada H, Hirayama T, Katsuki M, Habaguchi T : Long term results using a modified King's method for cubital tunnel syndrome. Clin Orthop Relat Res : 107-110, 1997 

  22. Wadsworth TG : The external compression syndrome of the ulnar nerve at the cubital tunnel. Clin Orthop Relat Res : 189-204, 1977 

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