Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 7/2007

01-09-2007 | Orthopaedic Surgery

Combined ulnar and carpal tunnel syndrome caused by pigmented villo-nodular tenosynovitis: a rare case

Authors: Mustafa Uysal, Gurkan Ozkoç, Sercan Akpinar, Murat Ali Hersekli, Reha Tandogan

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2007

Login to get access

Abstract

Pigmented villo-nodular synovitis/tenosynovitis (PVNS) is a rare cause of combined ulnar and median nerve compression neuropathy at the wrist. In our case, a 53-year-old house-wife had sensorial and motor complaints at her left hand. In clinical examination, painless soft tissue mass was palpated at her wrist and both the tenar and hypotenar muscles were atrophic. Electromyography showed prolonged distal latencies for median and ulnar nerve. A space-occupying soft tissue lesion was revealed in magnetic resonance imaging. Carpal tunnel and Guyon canal were released and lesion was excised. PVNS was confirmed by histopathological examination. If compression neuropathy of medial and ulnar nerves together is caused by a space-occupying lesion, PVNS should be considered in etiology.
Literature
1.
Ablove RH, Moy OJ, Peimer CA, Wheeler DR, Diao E (1996) Pressure changes in Guyon’s canal after carpal tunnel release. J Hand Surg (Br) 21(5):664–665CrossRef
2.
Bundy PG, Regan PJ, Roberts AH (1992) Localized nodular synovitis: a rare cause of ulnar nerve compression in Guyon’s canal. J Hand Surg (Am) 17(3):663–664
3.
Campanacci M (1986) Bone and soft tissue tumors. Springer, New York, pp 1103–1119
4.
Deryani E, Aki S, Muslumanoglu L, Rozanes I (2003) MR imaging and electrophysiological evaluation in carpal tunnel syndrome. Yonsei Med J 44(1):27–32PubMed
5.
Gozke E, Dortcan N, Kocaer A, Cetinkaya M, Akyuz G (2003) Ulnar nerve entrapment at wrist associated with carpal tunnel syndrome. Neurophysiol Clin 33:219–222PubMedCrossRef
6.
Kuschner SH, Gelberman RH, Jennings C (1988). Ulnar nerve compression at the wrist. J Hand Surg 13A:577–580
7.
Moneim MS (1992) Ulnar nerve compression at wrist, Ulnar tunnel syndrome. Hand Clin 8(2):337–344PubMed
8.
Moore KL (1985) Clinicaly oriented anatomy, 2nd edn. William & Wilkins, Baltimore, pp 603–606
9.
Murata K, Shih JT, Tsai TM (2003) Causes of ulnar tunnel syndrome: a retrospective study of 31 subjects. J Hand Surg (Am) 28(4):647–651CrossRef
10.
Oh SJ (1993) Clinical electromyography: nerve conduction studies. Williams & Wilkins, Baltimore, pp 496–574
11.
Phillip E, Wright II (2003) Carpal tunnel, ulnar tunnel, and stenosing tenosynovitis. In: Canale TS (eds) Campbell’s operative orthopaedics, Mosby, Philadelphia, pp 3761–3778
12.
Silver MA, Gelberman RH, Gellman H, Rhoades CE (1985) Carpal tunnel syndrome: associated abnormalities in ulnar nerve function and the effect of carpal tunnel release on these abnormalities. J Hand Surg 10A:710–713
13.
Szabo RM. (1999) Entrapment and compression neuropathies. In: Green DP, Hotchkiss RN, Pederson WC (eds) Green’s operative hand surgery, 4th edn., vol 2. Churchill Livingstone, New York, pp 1404–1447
Metadata
Title
Combined ulnar and carpal tunnel syndrome caused by pigmented villo-nodular tenosynovitis: a rare case
Authors
Mustafa Uysal
Gurkan Ozkoç
Sercan Akpinar
Murat Ali Hersekli
Reha Tandogan
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 7/2007
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-007-0357-0

Other articles of this Issue 7/2007

Archives of Orthopaedic and Trauma Surgery 7/2007 Go to the issue

Trauma Surgery

Clinical and user-friendly classification of traumatic digital nerve injuries of hand

Orthopaedic Surgery

The M.E Müller straight stem prosthesis: 15 year follow-up. Survivorship and clinical results

Trauma Surgery

Anatomical reconstruction for Reverse Hill-Sachs lesions after posterior locked shoulder dislocation fracture: a case series of six patients

Trauma Surgery

Retention of flexible intramedullary nails following treatment of pediatric femur fractures

Orthopaedic Surgery

Bilateral femoral neck stress fractures following total knee arthroplasty: a case report and review of literature

Basic Science

Peripheral paresthesia in patients with subacromial impingement syndrome