Case Report
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Peroneal Nerve Palsy due to Synovial Cyst of Proximal Tibiofibular Joint

Year 2018, Volume: 19 Issue: 3, 254 - 258, 30.09.2018

Abstract

Synovial cysts are benign soft-tissue tumors that arise from synovial joints or tendon sheaths. Synovial cyst of proximal tibiofibular joint is a very rare condition, which is included in non-traumatic causes of peroneal nerve palsy. This article presents clinical, and radiological findings of peroneal nerve palsy in a 50-year-old male patient admitted with sudden drop foot. Based on the clinical examination, electroneuromyography data, magnetic rezonans image the compression of nerve by synovial cyst was confirmed. Peroneal nerve palsy was completely improved after surgical resection of synovial cyst and physical theraphy and rehabilitation. In conclusion, synovial cysts of proximal tibiofibular joint causing peroneal nerve palsy should be remembered as a possible differential diagnosis for patient with drop foot.

References

  • 1. Ramanan M, Chandran KN. Common peroneal nerve decompression. ANZ J Surg 2011; 81: 707-12.
  • 2. Rein S, Weindel S, Schaller HE, Mittelbronn M, Schmidt G. Peroneal nerve palsy caused by a recurrent proximal tibiofibular joint ganglion—a case report and review of the literature. Handchir Mikrochir Plast Chir 2005; 37: 267-75.
  • 3. Stewart JD. Compression and entrapment neuropathies. In: Dyck PJ, Thomas PK, editors. Peripheral Neuropathy. 3rd ed. Philadelphia: WB Saunders Company; 1993. p. 961-79.
  • 4. Oh SJ. Clinical Electromyography: Nerve Conduction Studies. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2003.
  • 5. Akarırmak Ü. Tuzak Nöropatiler. İçinde: Beyazova M, Gökçe-Kutsal Y, editörler. Fiziksel Tıp ve Rehabilitasyon. Ankara: Güneş Kitabevi; 2000. p. 2071-89.
  • 6. Erdil M, Ozkan K, Ozkan FU, Bilsel K, Turkmen I, Senol S, et al. A rare cause of deep peroneal nerve palsy due to compression of synovial cyst—Case report. Int J Surg Case Rep 2013; 4: 515-7.
  • 7. Sultan C. Ganglion der Nervenscheide des Nervus Peroneus. Zentralblatt für Chirurgie 1921; 48: 963-5.
  • 8. Ilahi OA, Younas SA, Labbe MR, Edson SB. Prevalence of ganglion cysts originating from the proximal tibiofibular joint: A magnetic resonance imaging study. Arthroscopy 2003; 19: 150-3.
  • 9. Hersekli MA, Akpinar S, Demirors H, Ozkoc G, Ozalay M, Cesur N, et al. Synovial cysts of proximal tibiofibular joint causing peroneal nerve palsy: report of three cases and review of the literature. Arch Orthop Trauma Surg 2004; 124: 711-4.
  • 10. Humphreys DB, Novak CB, Mackinnon SE. Patient outcome after common peroneal nerve decompression. J Neurosurg 2007; 107: 314-8.
  • 11. Thoma A, Fawcett S, Ginty M, Veltri K. Decompression of the common peroneal nerve: experience with 20 consecutive cases. Plast Reconstr Surg 2001; 107: 1183-9.
  • 12. Preston DC, Shapiro BE. Electromyography and neuromuscular disorders. Boston: Butterworth-Heinemann, 1998. p. 307-36.
  • 13. Thoma A, Levis C. Compression neuropathies of the lower extremity. Clin Plast Surg 2003; 30: 189-201.
  • 14. Stewart JD. Foot drop: where, why and what to do? Pract Neurol 2008; 8: 158-69.
  • 15. Mortazavi SM, Farzan M, Asadollahi S. Proximal tibiofibular joint synovial cyst—one pathology with three different presentations. Knee Surg Sports Traumatol Arthrosc 2006; 14: 875-9.
  • 16. Kapoor V, Theruvil B, Britton JM. Excision arthroplasty of superior tibiofibular joint for recurrent proximal tibiofibular cyst. A report of two cases. Joint Bone Spine 2004; 71: 427-9.
  • 17. Pećina HI, Borić I, Pećina TC, Smoljanović T, Pećina M. Double synovial cyst of the proximal tibiofibular joint confirmed by MRI as a cause of the peroneal tunnel syndrome. Acta Chir Orthop Traumatol Cech 2008; 75: 301-5.
  • 18. Iverson DJ. MRI detection of cysts of the knee causing common peroneal neuropathy. Neurology 2005; 65: 1829-31.
  • 19. Kim JY, Ihn YK, Kim JS, Chun KA, Sung MS, Cho KH. Non-traumatic peroneal nerve palsy: MRI findings. Clin Radiol 2007; 62: 58-64.
  • 20. Huang SW, Wang WT. Early detection of peroneal neuropathy by ultrasound. Indian J Orthop 2014; 48: 104-6.
  • 21. Pagnoux C, Lhotellier L, Marek JJ, Ballard M, Chazerain P, Ziza JM. Synovial cysts of the proximal tibiofibular joint: three case reports. Joint Bone Spine 2002; 69: 331-3.
  • 22. Greer-Bayramoğlu RJ, Nimigan NS, Gan BS. Compression neuropathy of the peroneal nerve secondary to a ganglion cyst. Can J Plast Surg 2008; 16: 181-3.
  • 23. Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg Am 1998; 80: 47-53.

Year 2018, Volume: 19 Issue: 3, 254 - 258, 30.09.2018

Abstract

References

  • 1. Ramanan M, Chandran KN. Common peroneal nerve decompression. ANZ J Surg 2011; 81: 707-12.
  • 2. Rein S, Weindel S, Schaller HE, Mittelbronn M, Schmidt G. Peroneal nerve palsy caused by a recurrent proximal tibiofibular joint ganglion—a case report and review of the literature. Handchir Mikrochir Plast Chir 2005; 37: 267-75.
  • 3. Stewart JD. Compression and entrapment neuropathies. In: Dyck PJ, Thomas PK, editors. Peripheral Neuropathy. 3rd ed. Philadelphia: WB Saunders Company; 1993. p. 961-79.
  • 4. Oh SJ. Clinical Electromyography: Nerve Conduction Studies. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2003.
  • 5. Akarırmak Ü. Tuzak Nöropatiler. İçinde: Beyazova M, Gökçe-Kutsal Y, editörler. Fiziksel Tıp ve Rehabilitasyon. Ankara: Güneş Kitabevi; 2000. p. 2071-89.
  • 6. Erdil M, Ozkan K, Ozkan FU, Bilsel K, Turkmen I, Senol S, et al. A rare cause of deep peroneal nerve palsy due to compression of synovial cyst—Case report. Int J Surg Case Rep 2013; 4: 515-7.
  • 7. Sultan C. Ganglion der Nervenscheide des Nervus Peroneus. Zentralblatt für Chirurgie 1921; 48: 963-5.
  • 8. Ilahi OA, Younas SA, Labbe MR, Edson SB. Prevalence of ganglion cysts originating from the proximal tibiofibular joint: A magnetic resonance imaging study. Arthroscopy 2003; 19: 150-3.
  • 9. Hersekli MA, Akpinar S, Demirors H, Ozkoc G, Ozalay M, Cesur N, et al. Synovial cysts of proximal tibiofibular joint causing peroneal nerve palsy: report of three cases and review of the literature. Arch Orthop Trauma Surg 2004; 124: 711-4.
  • 10. Humphreys DB, Novak CB, Mackinnon SE. Patient outcome after common peroneal nerve decompression. J Neurosurg 2007; 107: 314-8.
  • 11. Thoma A, Fawcett S, Ginty M, Veltri K. Decompression of the common peroneal nerve: experience with 20 consecutive cases. Plast Reconstr Surg 2001; 107: 1183-9.
  • 12. Preston DC, Shapiro BE. Electromyography and neuromuscular disorders. Boston: Butterworth-Heinemann, 1998. p. 307-36.
  • 13. Thoma A, Levis C. Compression neuropathies of the lower extremity. Clin Plast Surg 2003; 30: 189-201.
  • 14. Stewart JD. Foot drop: where, why and what to do? Pract Neurol 2008; 8: 158-69.
  • 15. Mortazavi SM, Farzan M, Asadollahi S. Proximal tibiofibular joint synovial cyst—one pathology with three different presentations. Knee Surg Sports Traumatol Arthrosc 2006; 14: 875-9.
  • 16. Kapoor V, Theruvil B, Britton JM. Excision arthroplasty of superior tibiofibular joint for recurrent proximal tibiofibular cyst. A report of two cases. Joint Bone Spine 2004; 71: 427-9.
  • 17. Pećina HI, Borić I, Pećina TC, Smoljanović T, Pećina M. Double synovial cyst of the proximal tibiofibular joint confirmed by MRI as a cause of the peroneal tunnel syndrome. Acta Chir Orthop Traumatol Cech 2008; 75: 301-5.
  • 18. Iverson DJ. MRI detection of cysts of the knee causing common peroneal neuropathy. Neurology 2005; 65: 1829-31.
  • 19. Kim JY, Ihn YK, Kim JS, Chun KA, Sung MS, Cho KH. Non-traumatic peroneal nerve palsy: MRI findings. Clin Radiol 2007; 62: 58-64.
  • 20. Huang SW, Wang WT. Early detection of peroneal neuropathy by ultrasound. Indian J Orthop 2014; 48: 104-6.
  • 21. Pagnoux C, Lhotellier L, Marek JJ, Ballard M, Chazerain P, Ziza JM. Synovial cysts of the proximal tibiofibular joint: three case reports. Joint Bone Spine 2002; 69: 331-3.
  • 22. Greer-Bayramoğlu RJ, Nimigan NS, Gan BS. Compression neuropathy of the peroneal nerve secondary to a ganglion cyst. Can J Plast Surg 2008; 16: 181-3.
  • 23. Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg Am 1998; 80: 47-53.
There are 23 citations in total.

Details

Primary Language English
Subjects Physical Medicine and Rehabilitation
Journal Section Case Report
Authors

Işıl Karataş Berkit This is me

Yasemin Turan This is me

Kevser Bayraktar

Publication Date September 30, 2018
Published in Issue Year 2018 Volume: 19 Issue: 3

Cite

EndNote Karataş Berkit I, Turan Y, Bayraktar K (September 1, 2018) Peroneal Nerve Palsy due to Synovial Cyst of Proximal Tibiofibular Joint. Meandros Medical And Dental Journal 19 3 254–258.