Direct superior tibiofibular joint arthrography demonstrates consistent communication with the tibiofemoral joint

Puffer, Ross C.; Spinner, Robert J.; Amrami, Kimberly K.; Skinner, J. D.

doi:10.1002/ca.22455

Cited by 5 publications

(2 citation statements)

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“…The fact that all of the recurrences have happened in patients operated earlier in the practice suggests that incomplete resection may have been occurring early on. The second potential mechanism is a recurrence generated from the knee joint where there continues to be synovium, since the knee joint communicates with the STFJ . Many patients that we see have coexisting degenerative joint disease of both the STFJ and the knee joint, making this a plausible mechanism.…”

Section: Discussionmentioning

confidence: 95%

Outcomes following surgery for peroneal intraneural ganglion cysts

et al. 2018

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Section: Discussionmentioning

confidence: 95%

Outcomes following surgery for peroneal intraneural ganglion cysts

et al. 2018

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“…MR arthrography can be useful when subtle signs of the presence of an intraneural cyst are not completely convincing to demonstrate the passage of intraarticular contrast into the articular branch and confirm the presence of an intraneural cyst, as in Cases 2, 4, and 6. 5,6,12,19 The articular branch of the tibial nerve in these studies serves as an internal control. Intraarticular contrast was not seen within this branch in these studies, confirming that passage of the contrast into the peroneal articular branch was pathologic.…”

Section: An Explanation For "Negative" Mri or Ultrasound Findingsmentioning

confidence: 99%

The nearly invisible intraneural cyst: a new and emerging part of the spectrum

Wilson¹,

Hébert-Blouin

Murthy

et al. 2017

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OBJECTIVE The authors have observed that a subset of patients referred for evaluation of peroneal neuropathy with “negative” findings on MRI of the knee have subtle evidence of a peroneal intraneural ganglion cyst on subsequent closer inspection. The objective of this study was to introduce the nearly invisible peroneal intraneural ganglion cyst and provide illustrative cases. The authors further wanted to identify clues to the presence of a nearly invisible cyst. METHODS Illustrative cases demonstrating nearly invisible peroneal intraneural ganglion cysts were retrospectively reviewed and are presented. Case history and physical examination, imaging, and intraoperative findings were reviewed for each case. The outcomes of interest were the size and configuration of peroneal intraneural ganglion cysts over time, relative to various interventions that were performed, and in relation to physical examination and electrodiagnostic findings. RESULTS The authors present a series of cases that highlight the dynamic nature of peroneal intraneural ganglion cysts and introduce the nearly invisible cyst as a new and emerging part of the spectrum. The cases demonstrate changes in size and morphology over time of both the intraneural and extraneural compartments of these cysts. Despite “negative” MR imaging findings, nearly invisible cysts can be identified in a subset of patients. CONCLUSIONS The authors demonstrate here that peroneal intraneural ganglion cysts ride a roller coaster of change in both size and morphology over time, and they describe the nearly invisible cyst as one end of the spectrum. They identified clues to the presence of a nearly invisible cyst, including deep peroneal predominant symptoms, fluctuating symptoms, denervation changes in the tibialis anterior muscle, and abnormalities of the superior tibiofibular joint, and they correlate the subtle imaging findings to the internal fascicular topography of the common peroneal nerve. The description of the nearly invisible cyst may allow for increased recognition of this pathological entity that occurs with a spectrum of findings.