A Case Report and Literature Review: Intraneural Ganglion Cyst Causing Tarsal Tunnel Syndrome

Autor: Isaac E. Stillman, Matthew L. Iorio, Raymond Murano, John M. Giurini, Alison M. Migonis
Rok vydání: 2018
Předmět:
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 58(4)
ISSN: 1542-2224
Popis: Intraneural ganglion cysts are benign mucinous lesions that form within joints and enter adjacent nerves via an articular branch. Despite being morphologically characterized as benign, they can demonstrate considerable intrafascicular destruction and expansion, resulting in worsening compressive neuropathies or nerve injury. There have been several suggested theories of pathogenesis, but the most widely accepted articular (synovial) theory describes a capsular defect in a neighboring joint that allows joint fluid to egress and track along the epineurium of the innervating articular branch. In this case report, we describe an intraneural ganglionic cyst located in the tarsal tunnel with extensive involvement of the tibial nerve. We describe the symptoms, diagnosis, and treatment as well as review the current literature on intraneural ganglionic cysts.
Databáze: OpenAIRE