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[The Guyon's tunnel syndrome (author's transl)]
Summary
This study reports two unique cases of ulnar nerve compression in Guyon's tunnel. Causes included venous dilatation and a hypertrophic pisohamate ligament, offering new insights into this syndrome.
Area of Science:
- Orthopedic Surgery
- Neurology
- Vascular Surgery
Context:
- Ulnar nerve entrapment at Guyon's tunnel is a known condition.
- Etiologies typically involve space-occupying lesions or anatomical variations.
- Compression can lead to sensory and motor deficits in the hand.
Purpose:
- To describe two uncommon causes of ulnar nerve compression at Guyon's tunnel.
- To discuss the pathogenesis and management of these specific cases.
- To contribute to the understanding of differential diagnoses for Guyon's canal syndrome.
Summary:
- Two patients presented with ulnar nerve compression within Guyon's tunnel.
- Case 1: Compression due to venous dilatation alongside the ulnar nerve.
- Case 2: Compression caused by a hypertrophic pisohamate ligament.
Impact:
- Highlights the importance of considering vascular anomalies and ligamentous hypertrophy in Guyon's tunnel syndrome.
- May influence diagnostic approaches and surgical strategies for atypical presentations.
- Adds to the literature on rare etiologies of peripheral nerve compression.