Symptomatic elbow ganglion causing pronator syndrome

Area of Science:

• Orthopedic Surgery
• Neurology
• Medical Case Reports

Background:

• Ganglion cysts are historically documented, with early descriptions dating back to 400 BC.
• Peripheral nerve compression by ganglions is most frequently observed at the wrist.
• Median nerve compression by an elbow ganglion is an exceptionally rare occurrence.

Observation:

• A case is presented involving a palmar elbow ganglion.
• This ganglion led to significant median nerve compression.
• The patient exhibited clinical symptoms consistent with pronator syndrome.

Findings:

• Surgical excision of the palmar elbow ganglion was performed.
• Median nerve decompression was achieved concurrently.
• The patient experienced complete resolution of symptoms post-operatively.

Implications:

• This case highlights the possibility of median nerve compression at the elbow due to a ganglion cyst.
• It underscores the effectiveness of surgical intervention for this rare condition.
• Provides valuable insight for clinicians diagnosing and managing uncommon causes of pronator syndrome.