From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal

Guyon’s canal syndrome is an uncommon distal ulnar neuropathy caused by compression within the wrist. We report a case of delayed ulnar nerve entrapment secondary to post-traumatic fibrosis, diagnosed nine years after wrist injury and surgery. High-resolution ultrasonography demonstrated focal nerve...

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Autores principales: Lázaro, Luan Nascimento, Alvarenga, Pedro Henrique de Oliveira, Soares, Ocacir de Souza Reis, Duarte, Márcio Luís
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/48175
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spelling I10-R327-article-481752026-03-11T21:02:32Z From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal Del traumatismo a la fibrosis: un caso de atrapamiento del nervio cubital en el canal de Guyon Do trauma à fibrose: um caso de aprisionamento do nervo ulnar no canal de Guyon Lázaro, Luan Nascimento Alvarenga, Pedro Henrique de Oliveira Soares, Ocacir de Souza Reis Duarte, Márcio Luís Lázaro, Luan Nascimento Alvarenga, Pedro Henrique de Oliveira Soares, Ocacir de Souza Reis Duarte, Márcio Luís Lázaro, Luan Nascimento Alvarenga, Pedro Henrique de Oliveira Soares, Ocacir de Souza Reis Duarte, Márcio Luís ultrasonography ulnar nerve ulnar nerve compression syndromes Neurology Radiology Orthopedics ultrasonografía nervio cubital síndromes de compresión del nervio cubital Neurología Radiología Ortopedia ultrassonografia nervo ulnar síndromes de compressão do nervo ulnar Neurologia Radiologia Ortopedia Guyon’s canal syndrome is an uncommon distal ulnar neuropathy caused by compression within the wrist. We report a case of delayed ulnar nerve entrapment secondary to post-traumatic fibrosis, diagnosed nine years after wrist injury and surgery. High-resolution ultrasonography demonstrated focal nerve compression within Guyon’s canal adjacent to fibrotic tissue. The patient presented with chronic sensory deficits and hypothenar atrophy. Conservative treatment led to partial symptom control. This case highlights delayed post-surgical fibrosis as a potential cause of Guyon’s canal syndrome and underscores the diagnostic value of ultrasound in chronic compressive neuropathies. El síndrome del canal de Guyon es una neuropatía distal del nervio cubital poco frecuente causada por compresión a nivel de la muñeca. Presentamos un caso de atrapamiento tardío del nervio cubital secundario a fibrosis postraumática, diagnosticado nueve años después de una lesión y cirugía de la muñeca. La ultrasonografía de alta resolución demostró compresión focal del nervio dentro del canal de Guyon adyacente a tejido fibrótico. El paciente presentó déficits sensoriales crónicos y atrofia hipotenar. El tratamiento conservador permitió un control parcial de los síntomas. Este caso resalta la fibrosis postquirúrgica tardía como una posible causa del síndrome del canal de Guyon y subraya el valor diagnóstico del ultrasonido en neuropatías compresivas crónicas. A síndrome do canal de Guyon é uma neuropatia distal do nervo ulnar incomum causada por compressão ao nível do punho. Relatamos um caso de aprisionamento tardio do nervo ulnar secundário à fibrose pós-traumática, diagnosticado nove anos após lesão e cirurgia no punho. A ultrassonografia de alta resolução demonstrou compressão focal do nervo no interior do canal de Guyon, adjacente a tecido fibrótico. O paciente apresentou déficits sensoriais crônicos e atrofia hipotênar. O tratamento conservador resultou em controle parcial dos sintomas. Este caso destaca a fibrose pós-cirúrgica tardia como possível causa da síndrome do canal de Guyon e reforça o valor diagnóstico da ultrassonografia nas neuropatias compressivas crônicas Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026-03-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/48175 10.31053/1853.0605.v83.n1.48175 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 83 No. 1 (2026): Avance de publicación; e48175 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 83 Núm. 1 (2026): Avance de publicación; e48175 Revista da Faculdade de Ciências Médicas de Córdoba; v. 83 n. 1 (2026): Avance de publicación; e48175 1853-0605 0014-6722 10.31053/1853.0605.v83.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/48175/52566 https://revistas.unc.edu.ar/index.php/med/article/view/48175/52567 Derechos de autor 2026 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic ultrasonography
ulnar nerve
ulnar nerve compression syndromes
Neurology
Radiology
Orthopedics
ultrasonografía
nervio cubital
síndromes de compresión del nervio cubital
Neurología
Radiología
Ortopedia
ultrassonografia
nervo ulnar
síndromes de compressão do nervo ulnar
Neurologia
Radiologia
Ortopedia
spellingShingle ultrasonography
ulnar nerve
ulnar nerve compression syndromes
Neurology
Radiology
Orthopedics
ultrasonografía
nervio cubital
síndromes de compresión del nervio cubital
Neurología
Radiología
Ortopedia
ultrassonografia
nervo ulnar
síndromes de compressão do nervo ulnar
Neurologia
Radiologia
Ortopedia
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
topic_facet ultrasonography
ulnar nerve
ulnar nerve compression syndromes
Neurology
Radiology
Orthopedics
ultrasonografía
nervio cubital
síndromes de compresión del nervio cubital
Neurología
Radiología
Ortopedia
ultrassonografia
nervo ulnar
síndromes de compressão do nervo ulnar
Neurologia
Radiologia
Ortopedia
author Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
author_facet Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
Lázaro, Luan Nascimento
Alvarenga, Pedro Henrique de Oliveira
Soares, Ocacir de Souza Reis
Duarte, Márcio Luís
author_sort Lázaro, Luan Nascimento
title From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
title_short From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
title_full From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
title_fullStr From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
title_full_unstemmed From trauma to fibrosis: a case of ulnar nerve entrapment in Guyon’s canal
title_sort from trauma to fibrosis: a case of ulnar nerve entrapment in guyon’s canal
description Guyon’s canal syndrome is an uncommon distal ulnar neuropathy caused by compression within the wrist. We report a case of delayed ulnar nerve entrapment secondary to post-traumatic fibrosis, diagnosed nine years after wrist injury and surgery. High-resolution ultrasonography demonstrated focal nerve compression within Guyon’s canal adjacent to fibrotic tissue. The patient presented with chronic sensory deficits and hypothenar atrophy. Conservative treatment led to partial symptom control. This case highlights delayed post-surgical fibrosis as a potential cause of Guyon’s canal syndrome and underscores the diagnostic value of ultrasound in chronic compressive neuropathies.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2026
url https://revistas.unc.edu.ar/index.php/med/article/view/48175
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