골퍼에서 발생한 Guyon 터널부위 척골 신경 병증 - 증례 보고 -
Ulnar Neuropathy within Guyon's Tunnel in a Golf Player -A case report -
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
One of common injury sites in golfers is the wrist, but ulnar neuropathies at wrist in golfers have been rarely reported. We report a case of ulnar neuropathy within the Guyon's tunnel occurred in a single golfer diagnosed with electrodiagnosis and ultrasound. A 59-year old man suffered from difficulty with extension of left 4th and 5th finger joints and weakness of hand grasping, which had occurred 2 weeks ago and aggravated slowly. He had no sensory disturbance. During recent two months, he had practiced golf for three to four hours daily. Electrodiagnostic study showed that the deep branch of left ulnar nerve was compromised at the wrist (type IIA). Ultrasound study revealed a ganglion cyst within the Guyon’s tunnel. Therefore we diagnosed the patient as having ulnar neuropathy (only deep branch involvement) associated with a ganglion cyst within the Guyon’s tunnel.
Abstract
One of common injury sites in golfers is the wrist, but ulnar neuropathies at wrist in golfers have been rarely reported. We report a case of ulnar neuropathy within the Guyon's tunnel occurred in a single golfer diagnosed with electrodiagnosis and ultrasound. A 59-year old man suffered from difficulty with extension of left 4th and 5th finger joints and weakness of hand grasping, which had occurred 2 weeks ago and aggravated slowly. He had no sensory disturbance. During recent two months, he had practiced golf for three to four hours daily. Electrodiagnostic study showed that the deep branch of left ulnar nerve was compromised at the wrist (type IIA). Ultrasound study revealed a ganglion cyst within the Guyon’s tunnel. Therefore we diagnosed the patient as having ulnar neuropathy (only deep branch involvement) associated with a ganglion cyst within the Guyon’s tunnel.
참고문헌 (9)
- 서경묵, "아마추어 골퍼에서의 골프 관련 통증의 발생 빈도 및 분포", 대한스포츠의학회지, 21(1), pp.27~34 (2003), 대한스포츠의학회
- Hsu WC, "Distal ulnar neuropathy in a golf player", Clin J Sport Med, 15, pp.189~190 (2005)
- Dumitru D, "Focal peripheral neuropathies. in: Eletrodiagnostic medicine, 2nd ed", pp.1083~1086 (2002), Hanley & Belfus
- Erkin G, "Acute ulnar neuropathy at the wrist. A case report and review of the literature", Rheumatol Int, 27, pp.191~196 (2006)
- Choi HR, "Ulnar tunnel syndrome due to a ganglion: report of one case", J Korean Soc Surg Hand, 4, pp.77~80 (1999)
- Kang HJ, "Ulnar nerve neuropathy at the Guyon’s canal", J Korean Soc Surg Hand, 2, pp.245~250 (1997)
- Chen HS, "Ultrasonographic examination on patients with chronic wrist pain: a retrospective study", Am J Phys Med Rehabil, 86, pp.907~911 (2007)
- Rhee SK, "Tumors of hand. in: Orthopedics, 5th ed", pp.417~ (1999), The new medical co
- Nakamichi K, "Ganglion-associated ulnar tunnel syndrome treated by ultrasonographically assisted aspiration and splinting", J Hand Surg, 28B, pp.177~178 (2003)