Concurrent Lateral Dorsal Cutaneous and Deep Peroneal Intraneural Ganglion Cysts in the Foot

Nikhil K Prasad, Kimberly K Amrami, Mark E Jentoft, Robert J Spinner
Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons 2016, 55 (2): 401-5
Intraneural ganglion cysts are non-neoplastic collections of mucinous material within the epineurium of peripheral nerves. We present a rare case of 2 intraneural ganglion cysts in separate nerves of the foot, originating from different joints within the same joint complex. Our findings add to the large body of evidence supporting the unifying articular (synovial) theory. We emphasize the importance of delineating the cyst morphology and origins using high-resolution magnetic resonance imaging before surgery and searching for and resecting the articular branch or branches during surgery.

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