Tibial Nerve Palsy: An Atypical Presentation of a Popliteal Cyst

Abstract

Popliteal cysts represent one of the commonest knee pathologies in the adult population. The vast majority of cases may be treated conservatively as symptoms tend to resolve spontaneously. However, few patients may experience persistent pain and nerve-related symptoms not responding to conservative management. We present a case of a 46-year-old patient who suffered from tibial nerve palsy due to a popliteal cyst that was treated successfully with combined open and arthroscopic procedure. It is important to understand that popliteal cysts rarely may lead to tibial nerve entrapment and in selected cases operative management may be indicated.

Popliteal Cyst Compressive Tibial Neuropathy and Venous Insufficiency: A Case Report

“…This case contributes to the spectrum of presentations and outcomes associated with popliteal cysts. While arthroscopic techniques have been successful, open surgical techniques remain a viable option, especially when arthroscopic measures have not provided relief [10][11][12][13]. This case reinforces the importance of individualized treatment planning and highlights the potential for significant improvement with the appropriate surgical technique.…”