Ultrasound Diagnosis of Double Crush Syndrome of the Ulnar Nerve by the Anconeus Epitrochlearis and a Ganglion.
نویسندگان
چکیده
Double compression of the ulnar nerve, including Guyon's canal syndrome associated with cubital tunnel syndrome caused by the anconeus epitrochlearis muscle, is a very rare condition. We present a case of double crush syndrome of the ulnar nerve at the wrist and elbow in a 55-year-old man, as well as a brief review of the literature. Although electrodiagnostic findings were consistent with an ulnar nerve lesion only at the elbow, ultrasonography revealed a ganglion compressing the ulnar nerve at the hypothenar area and the anconeus epitrochlearis muscle lying in the cubital tunnel. Careful physical examination and ultrasound assessment of the elbow and wrist confirmed the clinical diagnosis prior to surgery.
منابع مشابه
Ulnar nerve palsy due to concomitant compression by the anconeus epitrochlearis muscle and a ganglion cyst.
Compression neuropathy of the ulnar nerve at the elbow is commonly caused by constriction at the fibrous cubital tunnel or an anatomical elbow deformity. Many uncommon causes of compression have been described, including Osborne’s band, ulnar nerve subluxation,1 anatomical confines of the cubital tunnel, elbow osteoarthritis, ganglion,2 prominent medial head of triceps,3 and an anconeus epitroc...
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Ulnar neuropathy at the elbow is the second most frequent entrapment neuropathy and is considered idiopathic in most patients. However, several anatomic variations, including the anconeus epitrochlearis muscle, have been reported to cause ulnar nerve compression. The anconeus epitrochlearis muscle is a common anatomic variation, with a prevalence of up to 34%, but the clinical diagnosis of ulna...
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After carpal tunnel syndrome, cubital tunnel syndrome is the second most common compression neuropathy in the upper extremity. Various sites of ulnar nerve compression at the elbow exist, with the most common being between the 2 heads of the flexor carpi ulnaris. Other potential sites include the arcade of Struthers, the space between Osborne's ligament and the medial ulnar collateral ligament,...
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ورودعنوان ژورنال:
- Journal of Korean Neurosurgical Society
دوره 59 1 شماره
صفحات -
تاریخ انتشار 2016