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A Ganglion Cyst Formed after Anterior Transposition of the Ulnar Nerve: A Case Report

  • Kim, Young-Bae (Department of Orthopaedic Surgery, VHS Medical Center) ;
  • Yoon, Jung Ro (Department of Orthopaedic Surgery, VHS Medical Center) ;
  • Lee, Woo Seung (Department of Orthopaedic Surgery, VHS Medical Center) ;
  • Yang, Jae-Hyuk (Department of Orthopaedic Surgery, VHS Medical Center) ;
  • Lee, Hoonnyun (Department of Orthopaedic Surgery, VHS Medical Center)
  • Received : 2014.11.26
  • Accepted : 2015.05.08
  • Published : 2015.06.30

Abstract

In this report, a case of a 70-year-old man with a large ganglion cyst formed after anterior transposition of the left ulnar nerve is presented. Three months after the index surgery, the patient presented with a painless superficial ovoid, soft mass measuring $5{\times}4{\times}2cm$ in size located at the posteromedial aspect of the left elbow, the previously operated site. Magnetic resonance imaging showed a well demarcated cystic mass with a stalk connecting to the elbow joint. Excisional biopsy was performed and pathologic findings showed that the cystic wall had no definite lining cells with myxoid degeneration compatible with findings of ganglion cyst.

Keywords

References

  1. Soltani AM, Best MJ, Francis CS, Allan BJ, Panthaki ZJ. Trends in the surgical treatment of cubital tunnel syndrome: an analysis of the national survey of ambulatory surgery database. J Hand Surg Am. 2013;38(8):1551-6. https://doi.org/10.1016/j.jhsa.2013.04.044
  2. 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. 2005;56(1):108-17. https://doi.org/10.1227/01.NEU.0000145854.38234.81
  3. Li Y, Lao J. The cubital tunnel syndrome caused by the two synovial cysts. J Plast Reconstr Aesthet Surg. 2012;65(6):827-9. https://doi.org/10.1016/j.bjps.2011.11.017
  4. 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(8):1413-9. https://doi.org/10.2106/00004623-200208000-00017
  5. Cutts S. Cubital tunnel syndrome. Postgrad Med J. 2007;83(975):28-31. https://doi.org/10.1136/pgmj.2006.047456
  6. Cha SM, Kim KC, Kang DH, Shin HD. Clinical outcomes of cubital tunnel syndrome after transmuscular anterior transposition of the ulnar nerve. Clin Shoulder Elbow. 2011;14(2):207-13.
  7. Bartels RH, Verhagen WI, van der Wilt GJ, Meulstee J, van Rossum LG, Grotenhuis JA. Prospective randomized controlled study comparing simple decompression versus anterior subcutaneous transposition for idiopathic neuropathy of the ulnar nerve at the elbow: part 1. Neurosurgery. 2005;56(3):522-30. https://doi.org/10.1227/01.NEU.0000154131.01167.03
  8. O'Driscoll SW, Horii E, Carmichael SW, Morrey BF. The cubital tunnel and ulnar neuropathy. J Bone Joint Surg Br. 1991;73(4):613-7.
  9. Park KJ, Cha YC. Ulnar nerve palsy caused by a ganglion at the elbow: two case report. J Korean Shoulder Elbow Soc. 2004;7(2):108-11. https://doi.org/10.5397/CiSE.2004.7.2.108
  10. Rosai J. Rosai & Ackerman's surgical pathology. Volume 2. 10th ed. New York: Mosby; 2011. 2070-71.