Abstract
Guyon canal syndrome referred to the ulnar nerve entrapment at the wrist and can occur at the Guyon’s canal and the pisohamate hiatus. Open release requires a long incision and extensive soft tissue dissection, which may lead to wound complications. The purpose of this chapter is to describe the technical details of 2-portal endoscopic release of the Guyon’s canal which can release both the volar carpal ligament and the fibrous arch of hypothenar muscles.
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Guyon F. Note sur une disposition anatomique propre à la face antérieure de la région du poignet et non encour décrite par le docteur. Bull Soc Anat Paris. 1861;6:184–6.
Earp BE, Floyd WE, Louie D, Koris M, Protomastro P. Ulnar nerve entrapment at the wrist. J Am Acad Orthop Surg. 2014;22:699–706.
Maroukis BL, Ogawa T, Rehim SA, Chung KC. Guyon canal: the evolution of clinical anatomy. J Hand Surg Am. 2015;40:560–5.
Sierakowski A, Zweifel CJ, Payne S. Compression of the ulnar nerve in Guyon’s canal caused by a large hypothenar cyst. Eplasty. 2010;10:e4.
Rengachary SS, Arjunan K. Compression of the ulnar nerve in Guyon’s canal by a soft tissue cell tumour. Neurosurgery. 1981;8:400–5.
Gross MS, Gelberman RH. The anatomy of the distal ulnar tunnel. Clin Orthop Relat Res. 1985;196:238–47.
Shea JD, McClain EJ. Ulnar-nerve compression syndromes at and bellow the wrist. J Bone Joint Surg. 1969;51:1095–103.
Afshar A. Ulnar tunnel syndrome due to an aberrant muscle. Arch Iran Med. 2015;18:58–9.
Fadel ZT, Samargandi OA, Tang DT. Variations in the anatomical structures of the Guyon canal. Plast Surg. 2017;25:84–92.
Capitani D, Beer S. Handlebar palsy--a compression syndrome of the deep terminal (motor) branch of the ulnar nerve in biking. J Neurol. 2002;249(10):1441–5.
Paulo HA, Edson BSS, Fernando GP, Ricardo JAL, Alexandre BR, Roberto M, Edison SN, Antonio JTM. Surgical Management of Guyon’s canal syndrome. An ulnar nerve entrapment at the wrist. Report of two cases. Arq Neuro-Psiquiatr. 2001;59(1):106–11.
Strohl AB, Zelouf DS. Ulnar tunnel syndrome, radial tunnel syndrome, anterior interosseous nerve syndrome, and pronator syndrome. J Am Acad Orthop Surg. 2017;25:e1–e10.
Hoogvliet P, Coert JH, Fridén J, Huisstede BMA. the European HANDGUIDE group. Consensus statement. How to treat Guyon's canal syndrome? Results from the European HANDGUIDE study: a multidisciplinary treatment guideline. Br J Sports Med. 2013;47(17):1063–70. https://doi.org/10.1136/bjsports-2013-092280.
PierreJC MV, Terk MR. The Guyon’s canal in perspective: 3-T MRI assessment of the normal anatomy, the anatomical variations and the Guyon’s canal syndrome. Surg Radiol Anat. 2011;33:897–903.
Dodds GA III, Hale D, Jackson WT. Incidence of anatomic variants in Guyon’s canal. J Hand Surg. 1990;15:352–5.
Lui TH. Arthroscopic ganglionectomy of the foot and ankle. Knee Surg Sports Traumatol Arthrosc. 2014;22:1693–700.
Lui TH. Endoscopic ganglionectomy of palmar ganglion via flexor carpi radialis tendoscopy. Arthrosc Tech. 2017;6:e1459–63.
Lui TH. Endoscopic ganglionectomy of the volar radial wrist ganglion. Arthrosc Tech. 2017;6:e1477–80.
Lui TH, Lau AYC. Endoscopic ganglionectomy and release of the sixth extensor compartment. Arthrosc Tech. 2019;8:e111–5.
Scott RL, Bruce T. Incidental Guyon’s canal release during attempted endoscopic carpal tunnel release: An anatomical study and report of two cases. Arthroscopy. 1993;9(4):382–6.
Noszczyk BH, Zdybek P. Feasibility and limitations of endoscopy in Guyon’s canal. Wideochir Inne Tech Maloinwazyjne. 2014;9:387–92.
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Ma, C.M., Lui, T.H. (2021). Endoscopic Release of the Guyon Canal and Pisohamate Hiatus. In: Lui, T.H. (eds) Arthroscopy and Endoscopy of the Hand, Wrist and Elbow. Springer, Singapore. https://doi.org/10.1007/978-981-16-4142-8_13
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DOI: https://doi.org/10.1007/978-981-16-4142-8_13
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