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Brown CK, Stainsby B, Sovak G. Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy. J Can Chiropr Assoc. 2014;58(4):413-20
Brown, C. K., Stainsby, B., & Sovak, G. (2014). Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy. The Journal of the Canadian Chiropractic Association, 58(4), 413-20.
Brown, Courtney K, et al. "Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy." The Journal of the Canadian Chiropractic Association vol. 58,4 (2014): 413-20.
Brown CK, Stainsby B, Sovak G. Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy. J Can Chiropr Assoc. 2014 Dec;58(4):413-20. PMID: 25550666; PMCID: PMC4262815.
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J Can Chiropr Assoc. 2014 Dec;58(4):413-20.

Guyon Canal Syndrome: lack of management in a case of unresolved handlebar palsy.

The Journal of the Canadian Chiropractic Association

Courtney K Brown, Brynne Stainsby, Guy Sovak

Affiliations

  1. Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
  2. Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Undergraduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.

PMID: 25550666 PMCID: PMC4262815

Abstract

OBJECTIVE: To present the clinical diagnostic features including management of Guyon canal syndrome in a case with unresolved sensory deficits in a young female cyclist.

CLINICAL PRESENTATION: After 14 days of cycling across Canada, a 23-year old female experienced sensory loss, followed by atrophy and a "claw" hand appearance of her left hand.

INTERVENTION AND OUTCOME: Treatment included cervical chiropractic manipulation, soft tissue therapy and the use of cycling gloves. Seven years after the initial injury a lack of sensation in the ulnar nerve distribution of her left hand has persisted.

DISCUSSION: This case demonstrates that a lack of proper management can lead to permanent sensory loss and is worth highlighting. Various therapists evaluated the patient's symptoms and provided minimal care. No diagnosis was given, nor were appropriate measures taken for her to understand the risks of continuing to ride.

SUMMARY: Although treatment for Guyon Canal Syndrome can be as easy as cessation from cycling until symptoms subside, other treatment options could be utilized to help manage ulnar nerve compression injuries in cyclists.

Keywords: Guyon Canal Syndrome; case report; chiropractic; handlebar palsy

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