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Cubital tunnel syndrome with small occult ganglion: A case report of bike rider

Cubital tunnel syndrome, the second-most common peripheral compression neuropathy, is associated with dynamic pressure in the cubital tunnel with the elbow flexion position. Medial elbow ganglion originated from the ulnohumeral joint causing cubital tunnel syndrome has been reported. This report des...

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Autores principales: Kuboi, Takuro, Tajika, Tsuyoshi, Endo, Fumitaka, Hatori, Yuhei, Saida, Ryuta, Chikuda, Hirotaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750753/
https://www.ncbi.nlm.nih.gov/pubmed/33414920
http://dx.doi.org/10.1177/2050313X20972850
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author Kuboi, Takuro
Tajika, Tsuyoshi
Endo, Fumitaka
Hatori, Yuhei
Saida, Ryuta
Chikuda, Hirotaka
author_facet Kuboi, Takuro
Tajika, Tsuyoshi
Endo, Fumitaka
Hatori, Yuhei
Saida, Ryuta
Chikuda, Hirotaka
author_sort Kuboi, Takuro
collection PubMed
description Cubital tunnel syndrome, the second-most common peripheral compression neuropathy, is associated with dynamic pressure in the cubital tunnel with the elbow flexion position. Medial elbow ganglion originated from the ulnohumeral joint causing cubital tunnel syndrome has been reported. This report describes the case of a 48-year-old man who developed numbness in his left ring and little finger after prolonged motorbike touring. He gradually showed decreased hand grip strength with medial elbow joint pain. Ultrasonography and magnetic resonance images revealed small occult ganglion at the medial side of elbow joint. Surgical resection of ganglion and ulnar nerve decompression relieved the ulnar neuropathy symptom. Prolonged motorbike riding while maintaining the elbow flexion position might exacerbate the symptom of cubital tunnel syndrome in patients with even a small space-occupying lesion such as the small occult ganglion.
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spelling pubmed-77507532021-01-06 Cubital tunnel syndrome with small occult ganglion: A case report of bike rider Kuboi, Takuro Tajika, Tsuyoshi Endo, Fumitaka Hatori, Yuhei Saida, Ryuta Chikuda, Hirotaka SAGE Open Med Case Rep Case Report Cubital tunnel syndrome, the second-most common peripheral compression neuropathy, is associated with dynamic pressure in the cubital tunnel with the elbow flexion position. Medial elbow ganglion originated from the ulnohumeral joint causing cubital tunnel syndrome has been reported. This report describes the case of a 48-year-old man who developed numbness in his left ring and little finger after prolonged motorbike touring. He gradually showed decreased hand grip strength with medial elbow joint pain. Ultrasonography and magnetic resonance images revealed small occult ganglion at the medial side of elbow joint. Surgical resection of ganglion and ulnar nerve decompression relieved the ulnar neuropathy symptom. Prolonged motorbike riding while maintaining the elbow flexion position might exacerbate the symptom of cubital tunnel syndrome in patients with even a small space-occupying lesion such as the small occult ganglion. SAGE Publications 2020-12-18 /pmc/articles/PMC7750753/ /pubmed/33414920 http://dx.doi.org/10.1177/2050313X20972850 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Kuboi, Takuro
Tajika, Tsuyoshi
Endo, Fumitaka
Hatori, Yuhei
Saida, Ryuta
Chikuda, Hirotaka
Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title_full Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title_fullStr Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title_full_unstemmed Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title_short Cubital tunnel syndrome with small occult ganglion: A case report of bike rider
title_sort cubital tunnel syndrome with small occult ganglion: a case report of bike rider
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750753/
https://www.ncbi.nlm.nih.gov/pubmed/33414920
http://dx.doi.org/10.1177/2050313X20972850
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