Department of Orthopaedics, Carilion Clinic, Roanoke, Virginia.
Virginia Tech Carilion School of Medicine, Roanoke, Virginia.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0272. doi: 10.2106/JBJS.CC.19.00272.
A 14-year-old female presented with a profound foot drop after trauma to the right leg. Clinical examination and electrodiagnostic studies demonstrated a dense palsy of the common peroneal nerve. Magnetic resonance imaging revealed an intraneural peroneal ganglion cyst at the fibular neck. Surgical treatment included decompression and transection of the articular branch to the proximal tibiofibular joint. At the 1-year follow-up, the patient demonstrated complete recovery of peroneal nerve function.
This case demonstrates a rare finding of a pediatric intraneural peroneal ganglion cyst. The presentation and treatment is well-documented and adds depth to the literature on a sparsely reported condition.
一名 14 岁女性因右腿外伤后出现严重足下垂。临床检查和电诊断研究显示,腓总神经重度麻痹。磁共振成像显示腓骨颈处有一神经内腓总神经神经节囊肿。手术治疗包括关节支到胫腓骨关节近端的减压和横断。在 1 年随访时,患者腓总神经功能完全恢复。
本病例显示了一种罕见的儿童神经内腓总神经神经节囊肿。其表现和治疗已有充分记录,并为文献中报道较少的疾病提供了更深入的了解。