We describe the treatment of a ganglion within the ulnar nerve at the elbow and apply the concept that an intraneural ganglion arises from the joint adjacent to the nerve in which the ganglion is located. Successful treatment of nerve compression and prevention of recurrence of the ganglion require disconnection of the nerve from the joint and deflation, not excision, of the ganglion.
Get full access to this article
View all access options for this article.
References
1.
CobbCAMoielRH. Ganglion of the peroneal nerve. Report of two cases. J Neurosurg.1974;41:255–9.
2.
DellonAL. Operative technique for submuscular transposition of the ulnar nerve. Contemp Orthop.1988;16:17–24.
3.
DellonALCoertJH. Results of the musculofascial lengthening technique for submuscular transposition of the ulnar nerve at the elbow. J Bone Joint Surg Am.2004;86-A(Suppl 1Pt 2):169–79.
4.
FerlicDCRiesMD. Epineural ganglion of the ulnar nerve at the elbow. J Hand Surg [Am]. 1990;15(6):996–8.
5.
HansisMReillPMeederPJ. Intraneural ganglion of the ulnar nerve. A case report. Unfallchirurg. 1988;91(9):405–7.
6.
Ming ChanKThompsonSAmirjaniNSatkunamLStrohscheinFJLobayGL. Compression of the ulnar nerve at the elbow by an intraneural ganglion. J Clin Neurosci.2003;10(2):245–8.
7.
OkadaMSakaguchiKOebisuNTakamatsuKNakamuraH. A ganglion within the ulnar nerve and communication with the distal radioulnar joint via an articular branch: case report. J Hand Surg [Am]. 2011;36(12):2024–6.
8.
SpinnerRJAmramiKK. Digital intraneural ganglia. J Plast Reconstr Aesthet Surg.2012;65(1):138–9.
9.
SpinnerRJAmramiKKKliotMJohnstonSPCasañasJ. Suprascapular intraneural ganglia and glenohumeral joint connections. J Neurosurg.2006;104(4):551–4.
10.
SpinnerRJAtkinsonJLTielRL. Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg.2003;99(2):330–43.
11.
SpinnerRJDellonALRossonGDAndersonSRAmramiKK. Tibial intraneural ganglia in the tarsal tunnel: Is there a joint connection?J Foot Ankle Surg.2007;46(1):27–31.
12.
SpinnerRJHébert-BlouinMNTrousdaleRTMidhaRRussellSMYamauchiT. Intraneural ganglia in the hip and pelvic region. J Neurosurg.2009;111(2):317–25.
13.
SpinnerRJVincentJ-FWolanskyjAPScheithauerBJ. Intra-neural ganglion cyst: 200 year old mystery solved. Clin Anat.2008;21:611–8.
14.
SpinnerRJWangH. The first described joint-associated intraneural ganglion cyst. Neurosurgery. 2011;69(6):1291–8.
15.
UetaniMHashmiRHayashiKNagataniYNarabayashiYImamuraK. Peripheral nerve intraneural ganglion cyst: MR findings in three cases. J Comput Assist Tomogr.1998;22(4):629–32.
