Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Cubital Tunnel Syndrome with Medial Ganglion Cyst

  • 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)
  • Published : 2007.08.30
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Abstract

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 ganglion in cubital tunnel. Decompression of ulnar nerve and excision of the ganglion were performed. Motor function of the ulnar nerve showed an improvement four months later after surgery. Because most ganglia are occult, imaging study is warranted especially in case with osteoarthritis. Excision of the ganglion performed concurrently with decompression of the ulnar nerve provide satisfactory results.

Keywords

References

  1. Assmus H : Simple decompression of the ulnar nerve in cubital tunnel syndrome with and without morphologic changes. Report of experiences based on 523 cases. Nervenarzt 65 : 846-853, 1994
  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 https://doi.org/10.1055/s-2007-1006715
  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 https://doi.org/10.2106/JBJS.8808.ebo1
  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 https://doi.org/10.1002/mus.880080215
  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 https://doi.org/10.2106/00004623-200208000-00017
  8. Kim DH, Han K, Tiel RL, Murovic JA, Kline DG : Surgical outcomes of 654 ulnar nerve lesions. J Neurosurg 98 : 993-1004, 2003 https://doi.org/10.3171/jns.2003.98.5.0993
  9. Kleinman WB : Cubital tunnel syndrome: anterior transposition as a logical approach to complete nerve decompression. J Hand Surg Am 24 : 886-897, 1999 https://doi.org/10.1053/jhsu.1999.0886
  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 https://doi.org/10.1148/radiographics.20.suppl_1.g00oc08s213
  12. Matev B : Cubital tunnel syndrome. Hand Surg 8 : 127-131, 2003 https://doi.org/10.1142/S0218810403001479
  13. Morrey BF, An KN : Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11 : 315-319, 1983 https://doi.org/10.1177/036354658301100506
  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 https://doi.org/10.1097/00006534-200008000-00014
  15. Muermans S, De Smet L : Partial medial epicondylectomy for cubital tunnel syndrome : Outcome and complications. J Shoulder Elbow Surg 11 : 248-252, 2002 https://doi.org/10.1067/mse.2002.123901
  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 https://doi.org/10.1055/s-2004-818453
  19. Robertson C, Saratsiotis J : A review of compressive ulnar neuropathy at the elbow. J Manipulative Physiol Ther 28 : 345, 2005 https://doi.org/10.1016/j.jmpt.2005.04.005
  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 https://doi.org/10.1007/s00330-001-1256-3
  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