Arch Hand Microsurg.  2017 Dec;22(4):293-298. 10.12790/ahm.2017.22.4.293.

Neurorrhaphy of Ulnar Nerve with Silicon Wrapping in Guyon's Canal to Prevent Neuropathy: A Case Report

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. xmfmal@gmail.com

Abstract

An 18-year-old female patient presented with complaints of motor function and sensory impairment of the ulnar nerve on the 9th day after primary repair with a laceration of the right palm. We performed nerve wrapping with silicone tube after primary nerve repair to prevent neuropathy due to scar formation. As a result of surgical treatment, motor function and sensory impairment of ulnar nerve were improved significantly without complication until 2 years postoperatively. Nerve wrapping with silicone tube can be widely used in patients who underwent primary repair of ulnar nerve and patients who have undergone surgical decompression due to other causes of Guyon's canal syndrome. This surgical technique is expected to prevent neuropathy caused by scar formation.

Keyword

Ulnar tunnel; Ulnar nerve; Ulnar neuropathies

MeSH Terms

Adolescent
Cicatrix
Decompression, Surgical
Female
Humans
Lacerations
Silicon*
Silicones
Ulnar Nerve*
Ulnar Neuropathies
Silicon
Silicones

Figure

  • Fig. 1 On physical examination, claw hand deformity is observed.

  • Fig. 2 On physical examination, finger abduction and adduction is abnormal on the right hand.

  • Fig. 3 In intraoperative exploration, total rupture of ulnar nerve and ulnar artery is observed.

  • Fig. 4 Neurorrhaphy is performed on the deep branches and superficial branches of the ruptured ulnar nerve. Nerve wrapping with silicone tube after primary nerve repair is performed.


Reference

1. Depukat P, Mizia E, Klosinski M, et al. Anatomy of Guyon's canal: a systematic review. Folia Med Cracov. 2014; 54:81–86.
2. Shea JD, McClain EJ. Ulnar-nerve compression syndromes at and below the wrist. J Bone Joint Surg Am. 1969; 51:1095–1103.
Article
3. Mackinnon SE, Dellon AL. Experimental study of chronic nerve compression. Clinical implications. Hand Clin. 1986; 2:639–650.
4. Cobb TK, Amadio PC, Leatherwood DF, Schleck CD, Ilstrup DM. Outcome of reoperation for carpal tunnel syndrome. J Hand Surg Am. 1996; 21:347–356.
Article
5. Kwann JHM, Rappaport I. Postoperative brachial palsy: a study on the mechanism. Arch Surg Neurol. 1970; 101:612–615.
6. Görgülü A, Uzal C, Doğanay L, Imer M, Eliuz K, Cobanoğlu S. The effect of low-dose external beam radiation on extraneural scarring after peripheral nerve surgery in rats. Neurosurgery. 2003; 53:1389–1395. discussion 1395-6.
Article
7. Menovsky T, Beek JF. Laser, fibrin glue, or suture repair of peripheral nerves: a comparative functional, histological, and morphometric study in the rat sciatic nerve. J Neurosurg. 2001; 95:694–699.
Article
8. Ozgenel GY, Filiz G. Effects of human amniotic fluid on peripheral nerve scarring and regeneration in rats. J Neurosurg. 2003; 98:371–377.
9. Ozgenel GY. Effects of hyaluronic acid on peripheral nerve scarring and regeneration in rats. Microsurgery. 2003; 23:575–581.
Article
10. Dahlin LB, Anagnostaki L, Lundborg G. Tissue response to silicone tubes used to repair human median and ulnar nerves. Scand J Plast Reconstr Surg Hand Surg. 2001; 35:29–34.
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