Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up

In our case report, we describe a 55-year-old male patient with isolated foot drop due to an intraneural synovial ganglion. We successfully treated the lesion with decompression via epineurotomy combined with primary division of the recurrent articular branch of the common peroneal nerve (CPN). Comp...

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Main Authors: Abrar Adil, Clint Basener, Jake Checketts
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/8045252
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author Abrar Adil
Clint Basener
Jake Checketts
author_facet Abrar Adil
Clint Basener
Jake Checketts
author_sort Abrar Adil
collection DOAJ
description In our case report, we describe a 55-year-old male patient with isolated foot drop due to an intraneural synovial ganglion. We successfully treated the lesion with decompression via epineurotomy combined with primary division of the recurrent articular branch of the common peroneal nerve (CPN). Compression neuropathies of the common peroneal nerve arise from a variety of causes. Intrinsic compression due to intraneural ganglion cysts of the CPN is rare. Previous reports of simple decompression of the cystic fluid have resulted in recurrence. The unified articular theory describes a pathway for fluid to fill from the proximal tibiofibular joint into the CPN via a recurrent articular branch. In our case, we divide this articular branch which we feel prevents recurrence.
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series Case Reports in Orthopedics
spelling doaj-art-5e6bb64a227a44c184b395a662911caf2025-02-03T06:12:19ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/80452528045252Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-UpAbrar Adil0Clint Basener1Jake Checketts2Department of Orthopaedic Surgery, Oklahoma State University Medical Center, USADepartment of Orthopaedic Surgery, Oklahoma State University Medical Center, USACenter for Health Sciences, Oklahoma State University, USAIn our case report, we describe a 55-year-old male patient with isolated foot drop due to an intraneural synovial ganglion. We successfully treated the lesion with decompression via epineurotomy combined with primary division of the recurrent articular branch of the common peroneal nerve (CPN). Compression neuropathies of the common peroneal nerve arise from a variety of causes. Intrinsic compression due to intraneural ganglion cysts of the CPN is rare. Previous reports of simple decompression of the cystic fluid have resulted in recurrence. The unified articular theory describes a pathway for fluid to fill from the proximal tibiofibular joint into the CPN via a recurrent articular branch. In our case, we divide this articular branch which we feel prevents recurrence.http://dx.doi.org/10.1155/2019/8045252
spellingShingle Abrar Adil
Clint Basener
Jake Checketts
Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
Case Reports in Orthopedics
title Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
title_full Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
title_fullStr Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
title_full_unstemmed Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
title_short Intraneural Synovial Cyst of the Common Peroneal Nerve: An Unusual Cause of Foot Drop with Four-Year Follow-Up
title_sort intraneural synovial cyst of the common peroneal nerve an unusual cause of foot drop with four year follow up
url http://dx.doi.org/10.1155/2019/8045252
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