2020, Number 09
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Revista Médica Sinergia 2020; 5 (09)
Guyon`s canal syndrome with motor compression of the ulnar nerve: a case report
San Lee RL, Castro ALM, González ADE
Language: Spanish
References: 20
Page: 1-14
PDF size: 529.97 Kb.
ABSTRACT
Guyon`s canal in the wrist is a highly complex anatomical area, its limits are
formed by various structures and its content is essential for the integrity of the hand. There are multiple factors that can eventually compress the ulnar
nerve to this level, producing Guyon`s canal syndrome. This syndrome
presents a variety of atypical signs and symtoms depending on the level of
nerve involvement, so there are delimited areas to differentiate the sensory
or motor compression of the nerve. The clinical case of a male patient is
presented, with a 2-month evolution of solely motor symptoms, muscle
atrophy and signs of compression of the left ulnar nerve at the level of
Guyon`s canal, and its management was surgical.
REFERENCES
Briana L. Maroukis, Takeshi Ogawa. "Guyon Canal: The evolution of Clinical Anatomy" J Hand Surg Am. 2015 Mar; 40(3): 560-565. https://doi.org/10.1016/j.jhsa.2014.09.026
Yelena Levina, Gary M. Lourie. "Dynamic Secundary Variation of the Canal Secundary to Variation of the Deep Branch of the Ulnar Artery: Etiology, Diagnosis, Treatment, and Outcome" Journal of Hand Surgery Global Online 2(2020) 256-259. https://doi.org/10.1016/j.jhsg.2020.04.010
Dmitri Aleksenko, Mathhew Varacallo. "Guyon Canal Syndrome" In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. 2020 Mar 31 PMID: 28613717 NBK431063
Brown CK, Stainsby B, Sovak G. Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy. J Can Chiropr Assoc. 2014 Dec;58(4):413-20. PMID: 25550666; PMCID: PMC4262815.
Kyle Andrews.Andrea Rowland. "Cubital tunnel Syndrome: Anatomy, clinical presentation, and management" Journal of Orthopaedics 15 (2018) 832- 836. https://doi.org/10.1016/j.jor.2018.08.010
Alejandro Liñán-Padilla, Francisco Barrionuevo-Sánchez. "Compresión del nervio cubital en el canal de Guyon. Estudio retrospectivo de 12 casos". Revista Colombiana de Ortopedia y Traumatología. 2016;30(4): 141-143. https://doi.org/10.1016/j.rccot.2016.11.008
Steven Beldner, Remy V. Rabinovich. "Ulnar nerve transposition in the hand: a cadaveric study". Journal of the Hand Surgery (European Volumen) 2018; 0(0):1-4. https://doi.org/10.1177/1753193418818361
Navarro BE. Síndromes compresivos del nervio cubital en codo y muñeca. Ortho-tips. 2014;10(1):26-33.
P Hoogvliet, J H Coert, J Fridén. "How to treat Guyon's canal Syndrome? Results from the European HANDGUIDE study: a multidisciplinary treatment guideline" Br J Sports Med 2013; 47:1063-1070. https://doi.org/10.1136/bjsports-2013-092280
Pien S. A. König, J. Joris Hage. "Variations of the Ulnar Nerve and Ulnar Artery in Guyon's Study" The Journal of Hand Surgery 1994; 19(4): 617-622. https://doi.org/10.1016/0363-5023(94)90270-4
Y. C. Gil, J. Shin, S. H. Lee. "Anatomy of the deep branch of the ulnar nerve" The Journal of Hand Surgery, European Volume 11 Jan 2016, 41(8): 843-847. https://doi.org/10.1177/1753193415622188
Claude Pierre-Jerome, Valeria Moncayo. "The Guyon's canal in perspective: 3-T MRI assessment of the normal anatomy, the anatomical variations and the Guyon's canal síndrome" Surg Radiol Anat (2011) 33: 897-903. https://doi.org/10.1007/s00276-011-0842-6
Pawel Depukat, Ewa Mizia. "Syndrome of canal os Guyon-definition, diagnosis, treatment and complication" Folia Medica Cracoviensia, Vol.LV, I, 2015: 17-23. PL ISSN 0015-5616
A. Michot, B. Chaput. "Arterial myopericytoma resulting in Guyon's canal síndrome. A case report". Hand Surgery and Rehabilitation Vol 36 (3), June 2016: 231-233. https://doi.org/10.1016/j.hansur.2016.01.008
Stylianos Tottas, Ioannis Kougioumtzis. "Ulnar nerve entrapment in Guyon's canal caused by a ganglion cyst: two cases report and review of the literatura" European Journal of Orthopaedic Surgery & Traumatology 2019; 29(2): 1-10. https://doi.org/10.1007/s00590-019-02468-6
Zahir T. Fadel, Osama A. Samargandi. "Variations in the Anatomical Structures of the Guyon Canal". Plastic Surgery, 2017, Vol. 25(2) 84-92. https://doi.org/10.1177/2292550317694851
Ruas ES, Castilho RS, Maia PE, Melo GL. GUYON'S CANAL SYNDROME DUE TO A SYNOVIAL CYST. Rev Bras Ortop. 2015;45(6):623-626. Published 2015 Nov 16. https://doi.org/10.1590/S0102- 36162010000600020
Donald D. Davis, Steven M. Kane. "Ulnar Nerve Entrapment" In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan 2020.2020 Jun 23. PMID: 32310389 NBK555929
Ramage Jl, Varacallo M. StatPearls[Internet]. StatPearls Publishing; Treasure Island (FL):Nov 2017, 2018. Anatomy, Shoulder and Upper Limb, Hand Guyon Canal. [PubMed:30521235]
Hu SY, Choi JG, Son BC. Type III Guyon Syndrome in 'B Boy' Break-Dancer: A Case Report. Korean J Neurotrauma. 2015;11(2):183-186. https://doi.org/10.13004/kjnt.2015.11.2.183