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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Nerve Compression due to Benign Tumors or Ganglion Cysts in the Upper Limb-Case Series

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  • presenting/speaker Andreea Grosu-Bularda - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Luana Lazarescu - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Marius Popescu - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Roxana-Maria Tomek-Enescu - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Alexandru Stoian - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Cristian Vancea - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Serban Arghir Popescu - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Daniel Vilcioiu - Emergency Clinical Hospital Bucharest, Bucharest, Romania
  • Ioan Lascar - Emergency Clinical Hospital Bucharest, Bucharest, Romania

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1452

doi: 10.3205/19ifssh1176, urn:nbn:de:0183-19ifssh11763

Published: February 6, 2020

© 2020 Grosu-Bularda et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Tumor nerve compression in the upper limb are relatively rare, usually involving ganglion cysts and benign tumors. Accurate diagnostic and treatment are mandatory for adequate functional recovery.

Methods: We present a case series of five patients with peripheral nerve compression in the upper limb due to tumor or cystic masses-large median nerve schwannoma generating anterior interosseous nerve compression, voluminous lipoma compressing median nerve in the proximal forearm, superficial branch of radial nerve compression encountered in two patients by a lipoma respectively a synovial cyst and ulnar nerve compression in the Guyon tunnel due to a ganglion cyst - and highlight the particularities in diagnostic and treatment of these patients.

Results and Conclusions: In the beginning, those benign lesions are asymptomatic but, as they continue to grow adjacent to a peripheral nerve clinical manifestations appear progressively as compressive neuropathies. All the patients have received surgical treatment-excision of the compressive masses with consecutive releasing of the nerves with very good clinical results in terms of symptom remission and functional recovery.

In conclusion, after a preoperative imagistic analysis, tumor resection with careful microsurgical dissection in order to preserve the neurovascular structures is the elective surgical procedure in order to obtain an optimal functional outcome.