Surgical Decompression of Tarsal Tunnel Syndrome Associated with Ganglion Cyst: A Case Report

Hong,  Woo Taik; Chung,  Yoon Kyu

doi:2019.24.4.416

Arch Hand Microsurg > Volume 24(4); 2019 > Article

Case Report

Archives of Hand and Microsurgery 2019;24(4):416-420.
Published online December 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.4.416

Surgical Decompression of Tarsal Tunnel Syndrome Associated with Ganglion Cyst: A Case Report

Woo Taik Hong, Yoon Kyu Chung

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea. ykchung@yonsei.ac.kr

Received: 1 August 2019 • Accepted: 20 August 2019

Abstract

Ganglion cyst which originates from joint space can affect nearby nerves through an articular branch. Despite known as benign mucinous lesion, ganglion cyst can show significant fascicular invasion and expansion, resulting in compression neuropathy. Number of pathogenesis have been insisted but the most widely acknowledged one is synovial herniation hypothesis. It describes a capsular defect in joint and discharged fluid to aggregate as cyst along the epineurium of articular branch. Tarsal tunnel syndrome is an entrapment neuropathy of the tibial nerve or its branches in the tarsal tunnel of ankle. In this case report, we describe a case of ganglion cyst associated tarsal tunnel syndrome and its surgical treatment.

Key Words: Ganglion cysts, Tarsal tunnel syndrome