Rafael Poniachik¹*, Maximiliano Rosenkranz¹, Juan Antonio Castellaro², Gonzalo Díaz² and Warner Larrondo²

¹Orthopaedic Resident, Clínica Dávila, Universidad de los Andes, Santiago, Chile
²Shoulder and Elbow Surgeon, Clínica Dávila, Santiago, Chile

*Corresponding Author: Rafael Poniachik,Orthopaedic Resident, Clínica Dávila, Universidad de los Andes, Santiago, Chile.

Received: December 22, 2022; Published: January 10, 2023

Abstract

Background: Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases in upper extremities. However, the syndrome caused by osteochondroma has been rarely reported. Surgical treatment is the election management but is important a correct clinical assessment.

Case presentation: A 41-year-old male patient with progressive pain of 4 months of evolution in the left hand associated with paresthesias. Physical examination revealed pain on palpation in relation to the epitrochlear-olecranon canal and neurological compromise. On images, CT and MRI of the elbow was found an exostosis in the medial epicondyle with no malignant signs and complemented with EMG and VC that reports ulnar entrapment at elbow level. An open surgical resection, excisional biopsy and ulnar nerve neurolysis were performed, which was observed with clear signs of nerve compression. Histopathological report evidenced an osteochondroma. The patient evolves favorably with decreased pain and no symptoms of ulnar compression.

Conclusions: Clinical assessment is essential in these cases and should guide the request for complementary imaging and electrophysiological studies to achieve an accurate diagnosis. In this way, a correct treatment can be carried out in order to accomplish good clinical results.

Keywords: Cubital Tunnel Syndrome; Nerve Compression; Osteochondroma; Biopsy; Neurolysis

References

1. Staples JR and Calfee R. “Cubital Tunnel Syndrome: Current Concepts”. Journal of the American Academy of Orthopaedic Surgeons10 (2022): e215-224.
2. Burahee , et al. “Cubital tunnel syndrome”. EFORT Open Reviews 6.9 (2022): 743-750.
3. Andrews K., et al. “Cubital tunnel syndrome: Anatomy, clinical presentation, and management”. Journal of Orthopaedics 3 (2022): 832-836.
4. Morin B., et al. “Intraarticular osteochondroma of the elbow”. Journal of Shoulder and Elbow Surgery4 (2022): 270-272.
5. Tepelenis K., et al. “Osteochondromas: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features and Treatment Options”. In Vivo 2 (2022): 681-691.
6. Sternberg ML and Sexton “Osteochondroma”. The Journal of Emergency Medicine 51.6 (2022): e145-146.
7. Alp NB. “Epineural ganglion causing cubital tunnel syndrome: A case report”. Joint Diseases and Related Surgery 1 (2022): 154-158.
8. Kuboi T., et al. “Cubital tunnel syndrome with small occult ganglion: A case report of bike rider”. SAGE Open Medical Case Reports 8 (2022): 2050313X2097285.
9. Yu HK., et al. “Cubital Tunnel Syndrome Caused by Osteochondroma: A Case Report”. Archives of Hand and Microsurgery 1 (2022): 96.

Citation

Citation: Rafael Poniachik., et al. “The Cubital Tunnel Syndrome Caused by an Osteochondroma: A Case Report”.Acta Scientific Orthopaedics 6.2 (2023): 16-18.

Copyright

Copyright: © 2023 Rafael Poniachik., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.