Birinci Murat, Korkmaz Oguzhan, Bostanci Bilal, Ormeci Tugrul, Kara Adnan
Department of Orthopaedics and Traumatology, Istanbul Medipol University, Istanbul, TUR.
Department of Radiology, Istanbul Medipol University, Istanbul, TUR.
Cureus. 2023 Jan 30;15(1):e34399. doi: 10.7759/cureus.34399. eCollection 2023 Jan.
Ganglion cysts are masses that we encounter frequently in our daily practice, usually in the upper extremity, less frequently in the lower extremities, and rarely cause compression symptoms. We present a case of a massive ganglion cyst of the lower limb causing peroneal nerve compression, managed with excision and proximal tibiofibular joint arthrodesis to prevent recurrence. Examination and radiological imaging of a 45-year-old female patient who was admitted to our clinic showed new-onset weakness in right foot movements and numbness on the dorsum of the foot and lateral cruris, a mass consistent with a ganglion cyst expanding the muscle was detected in the peroneus longus muscle. In the first surgery, the cyst was carefully resected. After three months, the patient came with a repeated mass on the lateral side of the knee. After confirmation of the ganglion cyst with clinical examination and MRI, a second surgery was planned for the patient. In this stage, we performed a proximal tibiofibular arthrodesis for the patient. Her symptoms recovered during the early follow-up period and no recurrence occurred during the two years of the follow-up period. Although the treatment of ganglion cysts seems easy, it can sometimes be challenging. We think that arthrodesis may be a good treatment option in recurrent cases.
腱鞘囊肿是我们在日常医疗实践中经常遇到的肿块，通常出现在上肢，较少出现在下肢，很少引起压迫症状。我们报告一例巨大的下肢腱鞘囊肿导致腓总神经受压的病例，通过手术切除及近端胫腓关节融合术进行治疗以防止复发。一名45岁女性患者入住我院，检查及影像学检查显示其右足运动出现新发无力，足背及小腿外侧麻木，在腓骨长肌中检测到一个与腱鞘囊肿相符的肿块，该囊肿使肌肉膨胀。在第一次手术中，囊肿被仔细切除。三个月后，患者因膝关节外侧再次出现肿块前来就诊。经临床检查及磁共振成像（MRI）确诊为腱鞘囊肿后，为患者计划了第二次手术。在此阶段，我们为患者进行了近端胫腓关节融合术。她的症状在早期随访期间恢复，随访两年期间未复发。尽管腱鞘囊肿的治疗看似简单，但有时也具有挑战性。我们认为关节融合术可能是复发病例的一种良好治疗选择。
