Intraneural Ganglions of the Hand and Wrist

Intraneural ganglion cyst of the ulnar nerve in an unusual location: A case report

“…Involvement of the peripheral nerves of the upper extremities with an intraneural ganglion is an extremely rare presentation [5]. The most commonly involved peripheral nerve in this rare presentation is the ulnar nerve; the most common location is the elbow in an upper extremity [6].…”

“…Involvement of the (main) ulnar nerve and its branches by intraneural ganglia such as the deep branch and the dorsal cutaneous branch in the wrist and hand has previously been reported [3], [6]. Wang et al documented 2 cases of intraneural ganglion cysts of the hand, involving the radial digital nerve of the index finger and dorsoulnar digital nerve of the thumb [7].…”

“…Wang et al documented 2 cases of intraneural ganglion cysts of the hand, involving the radial digital nerve of the index finger and dorsoulnar digital nerve of the thumb [7]. Similarly, Naam et al reported intraneural ganglion cysts of the hand in relation with the superficial radial nerve, the digital nerve, and the dorsal branch of the digital nerve [6].…”

Recurrent intraneural ganglion cysts: Pathoanatomic patterns and treatment implications

“…Twelve cases (19%) did not provide sufficient information to determine recurrence location. Of note, there were no recurrences in the 18 cases (of the 487 analyzed in this group) that were treated with resection of the cyst as well as the involved parent nerve 6 nerve graft reconstruction (Warren, 1946;Clark, 1961;Campailla, 1967;Herrin et al, 1986;Tatagiba et al, 1993;Coakley et al, 1995;Gosk et al, 2004;Rezzouk and Durandeau, 2004;Sanger et al, 2006;Uchida et al, 2006;Lohmeyer et al, 2007;Stamatis et al, 2010;Chang and Shih, 2012;Cesmebasi et al, 2014;Ogose et al, 2014;Naam et al, 2015). Group 2: Intraneural recurrence after articular branch ligation or disconnection (Fig.…”

“…Our search found 428 references that were reviewed. This included 417 articles listed in Appendix 1 of our recent systematic review (Desy et al, 2015), two newly published articles (Naam et al, 2015;Prasad et al, 2015), one recently published abstract (Oishi et al, 2015), and eight unpublished conference abstracts (Miake et al, 1973;Inobe et al, 1993;B € azner et al, 2008;Krishnan et al, 2009;Yang et al, 2010;Kong et al, 2011;Botanlioglu et al, 2013;Ratanshi et al, 2014;); all of which corresponded to 678 patients (681 intraneural cysts). Eighty cases were reported to have at least one intraneural recurrence following primary treatment, however two patients (one involving the deep fibular nerve and one affecting the common fibular nerve (CFN)) whom we believe had in fact an extraneural recurrence were excluded (Dubuisson and Stevenaert, 1996;Waldschmidt and Slongo, 2010).…”