search for



Cubital Tunnel Syndrome by a Ganglion Cyst in an Amateur Tennis Player
Korean J Sports Med 2019;37:29-31
Published online March 1, 2019;  https://doi.org/10.5763/kjsm.2019.37.1.29
© 2019 The Korean Society of Sports Medicine.

Jin-Young Bang

Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan, Korea
Correspondence to: Jin-Young Bang
Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, 875 Haeun-daero, Haeundae-gu, Busan 48108, Korea Tel: +82-51-797-2190, Fax: +82-51-797-2190, E-mail: drbang@paik.ac.kr
Received November 26, 2018; Revised February 14, 2019; Accepted February 26, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Ganglion cyst is considered to be a usual cause of peripheral nerve compression. In this report, we present a rare case of ulnar nerve compression by a multi-septated ganglion cyst in the cubital tunnel. A 33-year-old left-handed male amateur tennis player developed progressive numbness and weakness in his right elbow, forearm, and hand for 1 year. Decrease of grip power was apparent in left hand. Clinical examination revealed a cystic mass at the posterior side of the elbow. Magnetic resonance imaging identified a ganglion cyst at the elbow. During surgery about 3 cm diameter epineural ganglion was observed compressing the ulnar nerve and was excised using microsurgery techniques. Three months postoperatively, the clinical recovery of the patient was very satisfactory and he restored his original performance in tennis match.
Keywords : Cubital tunnel syndrome, Ganglion cysts, Ulnar nerve
References
  1. Andrews K, Rowland A, Pranjal A, Ebraheim N. Cubital tunnel syndrome: anatomy, clinical presentation, and management. J Orthop 2018;15:832-6.
    Pubmed CrossRef
  2. Tong J, Xu B, Dong Z, Liu J, Zhang C, Gu Y. Cubital tunnel syndrome caused by ganglion cysts: a review of 59 cases. Acta Neurochir (Wien) 2017;159:1265-71.
    Pubmed CrossRef
  3. Kojima T, Kurihara K, Nagano T. A study on operative findings and pathogenic factors in ulnar neuropathy at the elbow. Handchirurgie 1979;11:99-104.
    Pubmed
  4. Sharma RR, Pawar SJ, Delmendo A, Mahapatra AK. Symptomatic epineural ganglion cyst of the ulnar nerve in the cubital tunnel: a case report and brief review of the literature. J Clin Neurosci 2000;7:542-3.
    Pubmed CrossRef
  5. Sim GB, Kim CW, Sun JH, Kim JS, Chun JM, Jeon IH. Cubital tunnel syndrome. J Korean Orthop Assoc 2014;49: 346-54.
    CrossRef
  6. Harbaugh KS, Tiel RL, Kline DG. Ganglion cyst involvement of peripheral nerves. J Neurosurg 1997;87:403-8.
    Pubmed CrossRef
  7. Kato H, Hirayama T, Minami A, Iwasaki N, Hirachi K. Cubital tunnel syndrome associated with medial elbow Ganglia and osteoarthritis of the elbow. J Bone Joint Surg Am 2002; 84:1413-9.
    Pubmed CrossRef
  8. Treihaft MM. Neurologic injuries in baseball players. Semin Neurol 2000;20:187-93.
    Pubmed CrossRef