J Korean Soc Surg Hand.  2015 Mar;20(1):39-42. 10.12790/jkssh.2015.20.1.39.

Sensory Neuropathy of the Common Palmar Digital Nerve Caused by Ganglion Cyst

• Lee JH
• Cho YJ

• KMID: 2194125
• DOI: http://doi.org/10.12790/jkssh.2015.20.1.39

Abstract

Ganglion cysts that arise from the palm and compress the median nerve are rarely reported. Previous studies have described ganglion cysts compressing the motor branch of the median nerve, but no reports have described sensory neuropathy of the common palmar digital nerve as a result of ganglion cysts. We present a case of sensory neuropathy similar to carpal tunnel syndrome caused by a ganglion cyst that originated from the second carpometacarpal joint.

Keyword

Ganglion cyst; Common digital nerve; Palm; Sensory neuropathy

MeSH Terms

Carpal Tunnel Syndrome
Carpometacarpal Joints
Ganglion Cysts*
Median Nerve

Figure

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  Fig. 1. A T2-weighted magnetic resonance imaging of the right hand demonstrated a high-signal, homogenous fluid-filled mass (white arrow) connected to the second carpometacarpal joint (A) that enveloped the second common palmar digital nerve (small white arrow) in the midpalm (B).

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  Fig. 2. Intraoperative photograph of cystic mass (large arrow) attached to the perineum of the second common palmar digital nerve (small arrow).

Reference

References

1. Butler ED, Hamill JP, Seipel RS, De Lorimier AA. Tumors of the hand. A ten-year survey and report of 437 cases. Am J Surg. 1960; 100:293–302.

2. Dailiana ZH, Bougioukli S, Varitimidis S, et al. Tumors and tumor-like lesions mimicking carpal tunnel syndrome. Arch Orthop Trauma Surg. 2014; 134:139–44.

3. Cornwall R, Koris MJ, Jupiter JB. Wrist joint ganglion presenting as a painless mass in the palm: report of 2 cases. J Hand Surg Am. 2004; 29:289–92.

4. Greendyke SD, Wilson M, Shepler TR. Anterior wrist ganglia from the scaphotrapezial joint. J Hand Surg Am. 1992; 17:487–90.

5. Wright TW, Cooney WP, Ilstrup DM. Anterior wrist ganglion. J Hand Surg Am. 1994; 19:954–8.

6. Kerrigan JJ, Bertoni JM, Jaeger SH. Ganglion cysts and carpal tunnel syndrome. J Hand Surg Am. 1988; 13:763–5.

7. Kato H, Ogino T, Nanbu T, Nakamura K. Compression neuropathy of the motor branch of the median nerve caused by palmar ganglion. J Hand Surg Am. 1991; 16:751–2.

8. Crowley B, Gschwind CR, Storey C. Selective motor neuropathy of the median nerve caused by a ganglion in the carpal tunnel. J Hand Surg Br. 1998; 23:611–2.

9. Margles SW. Palmar ganglion producing diminished sensation in the distribution of the radial digital nerve of the thumb: a case not previously reported. Plast Reconstr Surg. 1994; 93:1512–3.

10. Kobayashi N, Koshino T, Nakazawa A, Saito T. Neuropathy of motor branch of median or ulnar nerve induced by mid-palm ganglion. J Hand Surg Am. 2001; 26:474–7.