Ultrasound-Guided Aspiration and Injection of an Intraneural Ganglion Cyst of the Common Peroneal Nerve

HSS Journal: Volume 9 Issue 3

Teresa Liang, BSc,
Faculty of Medicine, University of British Columnia

Anukul Panu MD, FRCPC
Department of Radiology and Imaging, Hospital for Special Surgery

Sean Crowther MB BCh, MRCS, FRCR,
Department of Radiology and Diagnostic Imaging, University of Alberta Hospital

Gavin Low MBChB, MRCS, FRCR,
Department of Radiology and Diagnostic Imaging, University of Alberta Hospital

Robert Lambert MB BCh, FRCR, FRCPC,
Department of Radiology and Diagnostic Imaging, University of Alberta Hospital


Abstract

Background:
Intraneural ganglion cysts are rare, benign, mucinous lesions that occur within neural sheaths and are thought to involve cystic fluid exiting from nearby synovial joints. They often present as tender masses causing paresthesias in the distribution of the involved nerve, muscle weakness or cramping, or localized or referred pain.  

Case Description:
We present a case of a patient who initially presented with foot drop due to an intraneural ganglion cyst of the common peroneal nerve. This cyst was successfully treated using ultrasound guidance to aspirate the cyst and inject corticosteroid to prevent further inflammation.

Literature Review:
Standard of care has previously involved surgical resection, but this has been associated with a high frequency of recurrence. Due to the risks of nerve and vessel damage, there have been efforts to find alternative ways of resolving these cysts.

Purposes and Clinical Relevance:
Aspiration and injection of corticosteroid is a useful and minimally invasive alternative to surgery for managing intraneural ganglion cysts.

Work was performed at the Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, Walter Mackenzie Center, 8440-112 St, Edmonton, AB T6G 2B7 Canada.

This article appears in HSS Journal: Volume 9 Issue 3.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

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