OLGU SUNUMLARI
Ulnar Nöropatiye Neden Olan Ganglion Kistinin Tanı ve Tedavisinde Ultrasonografinin Etkinliği
Efficacy of Ultrasonography for Diagnosis and Treatment of the Ganglion Cyst that Causes Ulnar Neuropathy
Received Date : 25 Nov 2020
Accepted Date : 15 Feb 2021
Available Online : 16 Aug 2021
Cevriye MÜLKOĞLUa, Hakan GENÇa
aClinic of Physical Medicine and Rehabilitation, Health Sciences University Ankara Training and Research Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2020-80199 - Makale Dili: EN
J PMR Sci. 2021;24(3):304-7
ÖZET
Ganglion kisti, el ve bilekte en sık görülen yumuşak doku
tümörü yerine jelatinimsi sıvıyla dolu benign bir kitledir. Bu yazıda,
40 yaşında, ganglion kisti olan ve ulnar nöropati bulgularıyla
başvuran bir erkek hasta sunuldu. Tedaviye dirençli olan hastaya, ultrasonografik
(USG) inceleme yapıldı. El bileğinde, ulnar siniri
sıkıştıran ganglion kisti tespit edildi ve ultrason eşliğinde aspire
edildi. Aspirasyon sonrası, müzisyen olan ve gitar çalan hastanın el
fonksiyonlarında önemli iyileşme oldu. El bileği ganglion kistinin
tanısı ve USG eşliğinde aspirasyonu güvenilir, kolay ve yüksek hasta
memnuniyetiyle oldukça etkilidir.
Anahtar Kelimeler: Ganglion kisti; bilek; ulnar nöropati; ultrasonografi; aspirasyon
ABSTRACT
Ganglion cyst is a benign mass which is filled with gelatinous
fluid, the most common soft tissue tumor in the hand and wrist.
In this article, we reported a 40-year-old male who had a ganglion cyst
and presented with the ulnar neuropathy findings. Ultrasonographic
(US) examination was performed on the patient who was resistant to the
treatment. The ganglion cyst that compresses the ulnar nerve in the
wrist was detected and aspirated by ultrasound guidance. After the aspiration,
there was a significant improvement in the hand functions of
the patient who was a musician and playing guitar. Diagnosis and USguided
aspiration of the wrist ganglion cyst is reliable, easy and quite
effective with high patient satisfaction.
Keywords: Ganglion cyst; wrist; ulnar neuropathy; ultrasonography; aspiration
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