espanol
DOI:
https://doi.org/10.25214/28056272.1692Abstract
Abstract: The compression of the median nerve and the ganglion are the most common compressive neuropathy of the peripheral nerve of the upper extremity and the most frequent tumor in the hand respectively, the presence of a ganglion can trigger compression of the median nerve, entity of varied etiology and whose management depends of the severity of the compression and associated etiology.
Methodology: Clinical case report: median nerve compression by volar carpal ganglion, literature analysis and surgical technique
Results: Functional scales were used: DASH score measured at 1, 3, 6 and 12 months and pain assessment by VAS, having at the end of follow-up a DASH score of 15 with VAS of 0, with mild disability in strength activities but with return to the work and daily activity, adequate gripping strength and range of motion, without alteration in relation to the contralateral hand. Patient with immediate relief of symptoms after surgery with improvement in functional scale at one year of follow-up and without recurrence.
Conclusion: In cases of compression of the median nerve secondary to an intratunnel space-occupying mass, as is the case of a ganglion, the release is performed by resection of the occupying mass, arthroscopy is a great option as it is a minimally invasive technique with excellent results by allowing direct visualization of the mass and confirmation of its total resection.
Key words: Compressive neuropathy, carpal tunnel syndrome, ganglion cyst, arthroscopy
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