Posterior interosseous nerve palsy caused by a ganglion: Conservative treatment with ultrasound-guided needle aspiration
Posterior interosseous nerve palsy caused by a ganglion is not common and most previous patients were treated with excisional surgery. We treated a case conservatively with needle aspiration using ultrasonography, after a nerve conduction study. A 77-year-old man presented with impaired active fi...
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2017-03-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-17-no-68/posterior-interosseous-nerve-palsy-caused-by-a-ganglion-conservative-treatment-with-ultrasound-guided-needle-aspiration?aid=508 |
| Summary: | Posterior interosseous nerve palsy caused by a ganglion is not common and most previous
patients were treated with excisional surgery. We treated a case conservatively with needle
aspiration using ultrasonography, after a nerve conduction study. A 77-year-old man presented
with impaired active finger extension of the left metacarpophalangeal joints. The nerve conduction
study revealed conduction block of the left radial nerve near the elbow. Ultrasonography
demonstrated a hypoechoic mass anterior to the radial neck compressing the posterior interosseous
nerve. Then, needle aspiration of the mass was conducted under ultrasonography. Two months later, active finger extension recovered to normal. A ganglion can be diagnosed
with ultrasonography and needle aspiration can be carried out safely under ultrasonography.
A nerve conduction study can assess the degree of nerve damage. The combination of ultrasonography
and a nerve conduction study can facilitate conservative treatment of needle aspiration
for posterior interosseous nerve palsy caused by a ganglion. |
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| ISSN: | 2084-8404 2451-070X |