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Guyon's Canal Syndrome

You might feel pain or numbness in the outside of your palm or in your ring and pinky fingers. Although Guyons canal syndrome is a relatively uncommon condition it is a well-recognised entity of upper extremity musculoskeletal disorders.


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Least common type of Guyons canal syndrome and is caused by compression of the superficial branch of the ulnar nerve at the distal portion of Guyons canal results in a loss of sensation from the cutaneous territory of the hand which is served by the ulnar nerve.

Guyon's canal syndrome

Guyon's canal syndrome

. When something obstructs or compresses the ulnar nerve in this location it is called Guyons canal syndrome. Guyons canal syndrome is also called ulnar tunnel syndrome or handlebar palsy. They can include injury or fracture of either the pisiform or hamate bones.

Guyons Canal Syndrome is a common nerve compression affecting the ulnar nerve as it passes through a tunnel in the wrist called Guyons canal. It was present in 25 of a sampled population and can cause compression leading to Guyons canal syndrome 1. Professional drivers and motorcyclists can suffer from Guyons canal syndrome which often occurs due to vibration from the road.

Anatomy and Function of the Ulnar Nerve The ulnar nerve is one of the 3 major nerves of your hand that travels down from the neck through the medial epicondyle a bony protuberance on the inner aspect of the elbow. The ulnar nerve begins at the side of the neck travels behind the elbow and ends in the hand at the little and ring fingers. Diagnosis can be made clinically with paresthesias of the small and ring finger with intrinsic weakness with a Tinels sign over Guyons canal.

1 2 This disorder caused by compression of the ulnar nerve as it passes Guyons canal can lead to a spectrum of sensory andor motor symptomsdepending on the exact location of the compression. Guyons canal syndrome accounted for 08 of all compressive neuropathies of the upper extremity in our patients. There is no motor function impairment.

If the symptoms can be related to specific occupational or recreational activities these need to be addressed in the. GuyonsCanal GuyonsCanalSyndrome UlnarNerveCompression UlnarNerveWristGuyons Canal is an area in the wrist joint area which contains ulnar artery and n. Causes of Guyons canal syndrome are variable.

Ulnar nerve compression at the wrist is a relatively rare condition amongst the compressive neuropathies of the upper extremity and literature. Guyons canal syndrome can be caused by acute or chronic trauma or by mass lesions anomalous muscles arthritic changes tumors ganglion cysts or vascular thrombosis therefore a complete diagnostic work-up must be done. Described and named by Jean Casimir Felix Guyon 1831-1920 a French anatomist and urologist in 1861 5.

Similar to carpal tunnel syndrome Guyons canal stems from compression of a nerve in your arm. Ulnar tunnel syndrome is a compressive neuropathy of the ulnar nerve at the level of the wrist Guyons canal most commonly due to a ganglion cyst. The abductor digiti minimi muscle can occasionally have an anomalous presence in Guyons canal.

Guyons canal is where the ulnar nerve passes through two small bones in the wrist the pisiform and the hamate.


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