Page 126 - Read Online

Table 1: Details of previously reported cases of REFERENCES
Guyon’s canal lipoma
1. Guyon F. Note on the anatomical arrangement of the anterior surface of
Patient Side Duration Neuropathy Size of Main author wrist, not previously described. Bull Soc Anat Paris 1861;6:184-6.
profi le lipoma 2. Hunt JR. Occupation neuritis of the deep palmar branch of the ulnar nerve.

(cm)
A well defi ned clinical type of professional palsy of the hand. J Nerv Ment Dis
54/female Right 7 years Motor NA Grantham [3] 1908;35:673-89.
36/male Right 3 months Motor 2.7 × 1.4 McFarland and 3. Grantham SA. Ulnar compression in the loge de Guyon. JAMA
Hoffer [4] 1966;197:509-10.
53/male Right 2 days Combined 6.5 × Zahrawi [5] 4. McFarland GB Jr, Hoffer MM. Paralysis of the intrinsic muscles of the hand
3.7 × 2 secondary to lipoma in Guyon’s tunnel. J Bone Joint Surg Am 1971;53:375-6.
74/female Right 3 months Combined 1.5 × 1 Sakai [6] 5. Zahrawi F. Acute compression ulnar neuropathy at Guyon’s canal resulting
from lipoma. J Hand Surg Am 1984;9:238-9.
61/female Right 2 years Sensory 5 × 4 × 2 Galeano et al. [7] 6. Sakai K, Tsutsui T, Aoi M, Sonobe H, Murakami H. Ulnar neuropathy caused by
49/female Right 6 years Sensory 5 × 2 Galeano et al. [7] a lipoma in Guyon’s canal – case report. Neurol Med Chir (Tokyo) 2000;40:335-8.
64/male Left NA Sensory NA Bui-Mansfi eld 7. Galeano M, Colonna M, Risitano G. Ulnar tunnel syndrome secondary to
et al. [8] lipoma of the hypothenar region. Ann Plast Surg 2001;46:83-4.
8/male Right 3 years No 3.3 × Ulusal et al. [9] 8. Bui-Mansfi eld LT, Williamson M, Wheeler DT, Johnstone F. Guyon’s canal
5.5 × 4.4 lipoma causing ulnar neuropathy. AJR Am J Roentgenol 2002;178:1458.
42/female Right 2 years Sensory 4 × 3 Balakrishnan 9. Ulusal BG, Gorgu M, Durmus EU, Ayhan M. A large Guyon’s lanal lipoma
et al. [10] without neuropathy in a child. Eur J Orthop Surg Traumatol 2004;14:161-4.
36/female Right 6 months Combined NA Rohilla et al. [11] 10. Balakrishnan A, Chang YJ, Elliott DA, Balakrishnan C. Intraneural lipoma of
the ulnar nerve at the elbow: a case report and literature review. Can J Plast
66/male Left 2 years Combined NA Ozdemir et al. [12] Surg 2012;20:e42-3.
37/male Left 2 years Sensory 3 × 2 × Paget et al. [13] 11. Rohilla S, Yadav RK, Dhaulakhandi DB. Lipoma of Guyon’s canal causing
1.5 ulnar neuropathy. J Orthop Traumatol 2009;10:101-3.
55/male Left 3.5 years Sensory 6.5 × Present case 12. Ozdemir O, Calisaneller T, Gerilmez A, Gulsen S, Altinors N. Ulnar nerve
4 × 2.5 entrapment in Guyon’s canal due to a lipoma. J Neurosurg Sci 2010;54:125-7.
13. Paget J, Patel N, Manushakian J. Ulnar nerve compression in Guyon’s canal:
NA: Not available
MRI does not always have the answer. J Surg Case Rep 2013;2013:pii: rjs043.
14. Shea JD, McClain EJ. Ulnar-nerve compression syndromes at and below the
be exercised while approaching these tumors as the nerve wrist. J Bone Joint Surg Am 1969;51:1095-103.
fibers may be splayed and embedded in the capsule. 15. Wu JS, Morris JD, Hogan GR. Ulnar neuropathy at the wrist: case report
The capsule should be incised in the area least likely to and review of literature. Arch Phys Med Rehabil 1985;66:785-8.
contain nerve fibers and the tumor carefully enucleated.
It is difficult to predict whether a tumor in our case grew How to cite this article: Sreekumar NC, Bhandari PL, Sreelesh LS,
into Guyon’s canal from the hypothenar space or grew Thushara KR. Lipoma causing Guyon's canal syndrome: a case report
out of Guyon’s canal. As tumors grow in areas of least and review. Plast Aesthet Res 2014;1:118-20.
resistance, it is less likely that the lipoma would have Source of Support: Nil, Confl ict of Interest: None declared.
entered the tight compartment. Received: 29-06-2014; Accepted: 10-08-2014

120 Plast Aesthet Res || Vol 1 || Issue 3 || Dec 2014