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

Park,  Beom; Kim,  Sugwon; Kim,  Jiye

doi:2017.22.4.293

Arch Hand Microsurg > Volume 22(4); 2017 > Article

Case Report

Archives of Hand and Microsurgery 2017;22(4):293-298.
Published online December 1, 2017.
DOI: https://doi.org/10.12790/ahm.2017.22.4.293

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

Beom Park, Sugwon Kim, Jiye Kim

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

Received: 19 June 2017 • Revised: 22 June 2017 • Accepted: 25 June 2017

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.

Key Words: Ulnar tunnel, Ulnar nerve, Ulnar neuropathies