Compressive neuropathies related to ganglions of the wrist and hand

Ganglions of the wrist and hand causing compressive neuropathies are rare clinical entities. Compression of the ulnar and median nerves in their respective fibro-osseous tunnels lead to characteristic patterns of motor and/or sensory deficits, which are directly related to the location of the lesion...

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Bibliographic Details
Published in:	Hand surgery Vol. 19; no. 1; p. 113
Main Authors:	Jayakumar, Prakash, Jayaram, Vijay, Nairn, David S
Format:	Journal Article
Language:	English
Published:	Singapore 2014
Subjects:	Ganglion Cysts - complications Hand Humans Male Median Neuropathy - etiology Middle Aged Recovery of Function Ulnar Nerve Compression Syndromes - etiology Wrist Joint
Online Access:	Get more information
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Summary:	Ganglions of the wrist and hand causing compressive neuropathies are rare clinical entities. Compression of the ulnar and median nerves in their respective fibro-osseous tunnels lead to characteristic patterns of motor and/or sensory deficits, which are directly related to the location of the lesion. We present a unique case of a "dumbbell" shaped ganglion invading both Guyon's canal and the carpal tunnel causing a dual compressive neuropathy of the ulnar and median nerve. We discuss the patho-anatomy, clinical assessment, investigation and surgical treatment of this condition.
ISSN:	1793-6535
DOI:	10.1142/S021881041472006X