A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression

Elbow synovial cysts are rare and can mimic more frequently encountered disorders such as lateral epicondylitis, presenting diagnostic challenges. This report describes a woman in her mid-40s with persistent pain and weakness in her right forearm due to a synovial cyst compressing the radial nerve a...

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Main Authors: Ting-Hsuan Hsu, Yen-Nung Lin
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/15/2/124
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author Ting-Hsuan Hsu
Yen-Nung Lin
author_facet Ting-Hsuan Hsu
Yen-Nung Lin
author_sort Ting-Hsuan Hsu
collection DOAJ
description Elbow synovial cysts are rare and can mimic more frequently encountered disorders such as lateral epicondylitis, presenting diagnostic challenges. This report describes a woman in her mid-40s with persistent pain and weakness in her right forearm due to a synovial cyst compressing the radial nerve at the Arcade of Frohse. Despite initial suspicions of lateral epicondylitis, deeper investigation using sonography confirmed the presence of a compressive synovial cyst. Ultrasound-guided aspiration of the cyst was performed, yielding clear synovial fluid and providing symptomatic relief. Post-procedure imaging showed a significant reduction in cyst size and alleviation of nerve compression. This case highlights the critical role of integrating sonography with clinical evaluations in diagnosing and managing atypical presentations of neuropathic pain and motor weakness. This advanced imaging capability not only effectively facilitated an accurate diagnosis but also enabled a targeted therapeutic intervention, thereby avoiding extensive surgical procedures and reducing the risk of nerve injury.
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spelling doaj-art-0ab8901d2fb04c94982fae446a322f3e2025-01-24T13:28:49ZengMDPI AGDiagnostics2075-44182025-01-0115212410.3390/diagnostics15020124A Rare Case of Elbow Synovial Cyst with Radial Nerve CompressionTing-Hsuan Hsu0Yen-Nung Lin1Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 116, TaiwanDepartment of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 116, TaiwanElbow synovial cysts are rare and can mimic more frequently encountered disorders such as lateral epicondylitis, presenting diagnostic challenges. This report describes a woman in her mid-40s with persistent pain and weakness in her right forearm due to a synovial cyst compressing the radial nerve at the Arcade of Frohse. Despite initial suspicions of lateral epicondylitis, deeper investigation using sonography confirmed the presence of a compressive synovial cyst. Ultrasound-guided aspiration of the cyst was performed, yielding clear synovial fluid and providing symptomatic relief. Post-procedure imaging showed a significant reduction in cyst size and alleviation of nerve compression. This case highlights the critical role of integrating sonography with clinical evaluations in diagnosing and managing atypical presentations of neuropathic pain and motor weakness. This advanced imaging capability not only effectively facilitated an accurate diagnosis but also enabled a targeted therapeutic intervention, thereby avoiding extensive surgical procedures and reducing the risk of nerve injury.https://www.mdpi.com/2075-4418/15/2/124elbow painsynovial cystradial nerve compressionsonographyneuropathy
spellingShingle Ting-Hsuan Hsu
Yen-Nung Lin
A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
Diagnostics
elbow pain
synovial cyst
radial nerve compression
sonography
neuropathy
title A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
title_full A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
title_fullStr A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
title_full_unstemmed A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
title_short A Rare Case of Elbow Synovial Cyst with Radial Nerve Compression
title_sort rare case of elbow synovial cyst with radial nerve compression
topic elbow pain
synovial cyst
radial nerve compression
sonography
neuropathy
url https://www.mdpi.com/2075-4418/15/2/124
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