%0 Journal Article
%T Median nerve neuropathy in the forearm due to recurrence of anterior wrist ganglion that originates from the scaphotrapezial joint: Case Report
%A Kiyoshi Okada
%A Junichi Miyake
%A Toshiyuki Kataoka
%A Hisao Moritomo
%A Tsuyoshi Murase
%A Hideki Yoshikawa
%J Journal of Brachial Plexus and Peripheral Nerve Injury
%D 2012
%I Thieme Medical Publishers
%R 10.1186/1749-7221-7-1
%X A 47-year-old right-handed housewife noted the appearance of soft swelling on the volar aspect of her left distal forearm, and local resection surgery was performed twice at another hospital. One year after the last surgery, the swelling reappeared and was associated with numbness and pain in the radial volar aspect of the hand. Magnetic resonance imaging revealed that the multicystic lesion originated from the Scaphotrapezial joint and had expanded beyond the wrist. Exploration of the left median nerve showed that it was compressed by a large ovoid cystic lesion at the distal forearm near the proximal end of the carpal tunnel. We resected the cystic lesion to the Scaphotrapezial joint. Her symptoms disappeared 1 week after surgery, and complications or recurrent symptoms were absent 13 months after surgery.A typical median nerve compression was caused by incomplete resection of an anterior wrist ganglion, which may have induced widening of the cyst. Cases with anterior wrist ganglion have high recurrence rates and require extra attention in their treatment.Anterior wrist ganglion, which mainly originates from the radiocarpal joint, accounts for 15%-20% of wrist ganglions [1,2]. Anterior wrist ganglion show high recurrence rates [3], and we experienced a recurrent ganglion related to incomplete surgical resection. Although some previous reports suggest that carpal tunnel syndrome is occasionally caused by ganglion cysts [4], few reports demonstrate median nerve neuropathy in the forearm due to a ganglion cyst. Furthermore, no reports have suggested that recurrence of anterior wrist ganglion that originated from the Scaphotrapezial joint caused median nerve neuropathy in the forearm. Here, we report a rare case of anterior wrist ganglion recurrence, which originated from the Scaphotrapezial joint, which caused median nerve neuropathy in the forearm.A 47-year-old right-handed housewife noted a soft swelling on the volar aspect of her left distal forearm 3 years ago. S
%U http://www.jbppni.com/content/7/1/1