Ulnar nerve double crush by entrapment of a peri-cubital tunnel ganglion cyst and cubital tunnel: a case report.

IF 2.4 3区医学 Q2 ORTHOPEDICS BMC Musculoskeletal Disorders Pub Date : 2025-03-17 DOI:10.1186/s12891-025-08526-x

Gaoming Gong, Leining Wang, Jinhao Zhang, Zhihui Huang, Yulong Wang, Kunpeng Song

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Abstract

Background: Double crush syndrome (DCS) is a relatively rare nerve compression syndrome among peripheral nerve compression diseases. However, ulnar nerve double entrapment caused by peri-cubital tunnel ganglion cysts has been rarely reported.

Case presentation: Here, we present a case of a 54-year-old woman who experienced occasional pain, numbness and paralysis in her right half hand for 1 year. A B-ultrasound of the right elbow initially revealed cubital tunnel syndrome only. Further Magnetic Resonance Imaging (MRI) showed a ganglion cyst near the cubital tunnel. After evaluation, we performed open surgery to excise the cyst and incise the cubital tunnel, completely decompressing the ulnar nerve entrapment. Ulnar nerve anterior transposition was also performed simultaneously.

Conclusions: The patient was followed up for 1 month, and she experienced a complete recovery with no functional limitations.

Clinical trial number: Not applicable.

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肘管周围神经节囊肿及肘管夹陷致尺神经双压迫1例。

背景：双压综合征（DCS）是周围神经压迫性疾病中较为少见的一种神经压迫综合征。然而，由肘周隧道神经节囊肿引起的尺神经双压迫却鲜有报道。病例介绍：在这里，我们提出一个54岁的女性，她经历了偶尔的疼痛，麻木和麻痹在她的右手1年。右肘b超最初仅显示肘管综合征。进一步的磁共振成像（MRI）显示在肘管附近有一个神经节囊肿。评估后，我们进行开放手术切除囊肿并切开肘管，完全减压尺神经压迫。同时进行尺神经前移位。结论：患者随访1个月，恢复完全，无功能障碍。临床试验号：不适用。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.