“Cubital Tunnel Syndrome Due to Ganglion Associated with Ulnar Neuropathy”: A Case Report

We report a case of ulnar neuropathy by a ganglion in the cubital tunnel. A 52 year old male presented in our OPD with tingling and numbness over medial side of left hand and left 4th and 5th fingers since 2 months which increased on prolonged flexion and during night time. On clin ical examination there was wasting of both ulnar forearm and hypothenar muscles with thickening of ulnar nerve and tenderness at medial aspect of elbow and decreased hand grip .CARD test and EGAWA test positive and FROMENT sign present. X - ray of left elbow (AP and Lateral View) showed osteophytes at ulno - humeral joint. During surgery a 2 - cm diameter ganglion arising from ulno - humeral joint compressing the ulnar nerve was identified. Ganglion cyst excised and ulnar nerve was transposed anteriorly. Biopsy of the material confirmed it as a ganglion. Patient recovered satisfactorily 3 months after the surgery.