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

Migonis, Alison; Murano, Raymond; Stillman, Isaac E.; Iorio, Matthew L.; Giurini, John M.

doi:10.1053/j.jfas.2018.11.018

Cited by 9 publications

(3 citation statements)

References 18 publications

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“…These findings can be mistaken for lumbar neuropathies and compression of the sacral nerve roots [3][4][5][6][7][8]. Differential diagnosis includes peripheral nerve sheath tumors, periosteal ganglions, Baker's cysts, extraneural ganglion cysts, and atypical vascular or lymphatic malformations [9][10][11][12][13][14][15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…The unifying theory hypothesizes that intraneural ganglion cysts originate in nearby joints; the cystic fluid from the synovial joints (through capsular defect) dissect intra-epineuronally from the joint through articular branches perforating the joint capsule along the path of least resistance. In the case of tibial intraneural ganglion cysts, the cysts arise from the posterior aspect of the superior tibiofibular joint unlike anterior cysts, which arise from the peroneal nerve [9,12,14,16].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Tibial Intraneural Ganglion Cyst Arising From the Tibiofibular Joint

Mayer¹,

Grewal²,

Gloe³

et al. 2021

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Case of Tibial Intraneural Ganglion Cyst Arising From the Tibiofibular Joint

Mayer¹,

Grewal²,

Gloe³

et al. 2021

Cureus

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“…10 Another PTTS case in 2019 discovered an intraneural ganglion cyst within the tarsal tunnel that progressed to compression of the tibial nerve. 11 Varicose veins have been reported to be a fairly common venous etiology of PTTS. A case study in 2017 documented a 39-year-old male presenting with paresthesia and pain on the medial aspect of his right foot and ankle.…”

Section: Pathophysiologymentioning

confidence: 99%

An Update on Posterior Tarsal Tunnel Syndrome

et al. 2022

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Posterior tarsal tunnel syndrome (PTTS) is an entrapment neuropathy due to compression of the tibial nerve or one of its terminal branches within the tarsal tunnel in the medial ankle. The tarsal tunnel is formed by the flexor retinaculum, while the floor is composed of the distal tibia, talus, and calcaneal bones. The tarsal tunnel contains a number of significant structures, including the tendons of 3 muscles as well as the posterior tibial artery, vein, and nerve. Focal compressive neuropathy of PTTS can originate from anything that physically restricts the volume of the tarsal tunnel. The variety of etiologies includes distinct movements of the foot, trauma, vascular disorders, soft tissue inflammation, diabetes mellitus, compression lesions, bony lesions, masses, lower extremity edema, and postoperative injury. Generally, compression of the posterior tibial nerve results in clinical findings consisting of numbness, burning, and painful paresthesia in the heel, medial ankle, and plantar surface of the foot. Diagnosis of PTTS can be made with the presence of a positive Tinel sign in combination with the physical symptoms of pain and numbness along the plantar and medial surfaces of the foot. Initially, patients are treated conservatively unless there are signs of muscle atrophy or motor nerve involvement. Conservative treatment includes activity modification, heat, cryotherapy, non-steroidal anti-inflammatory drugs, corticosteroid injections, opioids, GABA analog medications, tricyclic antidepressants, vitamin B-complex supplements, physical therapy, and custom orthotics. If PTTS is recalcitrant to conservative treatment, standard open surgical decompression of the flexor retinaculum is indicated. In recent years, a number of alternative minimally invasive treatment options have been investigated, but these studies have small sample sizes or were conducted on cadaveric models.

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Atypische Nervenkompressionssyndrome und verwandte Krankheitsbilder

Assmus

2023

Nervenkompressionssyndrome

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

Cited by 9 publications

References 18 publications

A Rare Case of Tibial Intraneural Ganglion Cyst Arising From the Tibiofibular Joint

A Rare Case of Tibial Intraneural Ganglion Cyst Arising From the Tibiofibular Joint

An Update on Posterior Tarsal Tunnel Syndrome

Atypische Nervenkompressionssyndrome und verwandte Krankheitsbilder

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