Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint.
We present a patient who developed a peroneal intraneural ganglion and an adventitial cyst following the incomplete treatment of a tibial intraneural ganglion. These separate cysts all originated from the superior tibiofibular joint and dissected along their respective articular branches. A logical mechanistic explanation for these coexisting cysts is provided, which highlights the shared pathogenesis--its joint-related nature--rather than a multifocal de novo process. These observations would not only be consistent with, but would extend previous evidence in support of, the unifying articular (synovial) theory.
Spinner
Robert J
RJ
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA. spinner.robert@mayo.edu
Desy
Nicholas M
NM
Amrami
Kimberly K
KK
D003937:Diagnosis, Differential; D005360:Fibula / Q000473:pathology* / Q000601:surgery; D005500:Follow-Up Studies; D045888:Ganglion Cysts / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007596:Joints / Q000294:innervation / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D010543:Peroneal Nerve / Q000473:pathology / Q000601:surgery; D020427:Peroneal Neuropathies / Q000175:diagnosis* / Q000601:surgery; D035583:Rare Diseases; D012008:Recurrence; D013977:Tibia / Q000294:innervation / Q000473:pathology / Q000601:surgery; D013979:Tibial Nerve / Q000473:pathology / Q000601:surgery; D020429:Tibial Neuropathy / Q000175:diagnosis* / Q000601:surgery