• Am J Phys Med Rehabil · Oct 2013

    Case Reports

    Proximal median nerve entrapment caused by a distal biceps tendon cyst: an ultrasonographic diagnosis.

    • Murat Kara, Süha Yalçin, Tülay Tiftik, and Levent Özçakar.
    • From the Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey (MK, SY, TT); and Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ).
    • Am J Phys Med Rehabil. 2013 Oct 1;92(10):942-3.

    AbstractA 60-yr-old woman reported severe pain in the proximal part of her left forearm. The pain was also radiating toward the median nerve-innervated areas of the arm, especially during elbow flexion. Ultrasonographic imaging showed a well defined ganglion cyst around the distal biceps tendon close to the median nerve. Under ultrasound guidance, the cyst was aspirated and corticosteroid injection was performed. The patient's complaint improved 1 wk after the injection, and she started to flex her elbow without any pain. This case highlights the role of ultrasonography as a useful adjunctive tool not only to morphologically confirm a peripheral nerve entrapment but also to uncover the possible underlying etiology and to guide precisely during an intervention.

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