Abstract
Introduction: The objective of this study was to answer the typical questions from patients regarding the likely neurologic outcome and likelihood of recurrence when discussing peroneal intraneural ganglion cysts preoperatively. Methods: Retrospective analysis of all patients who underwent surgery for a peroneal intraneural ganglion cyst between January 1, 2000, and April 1, 2017, was performed. Postoperative neurologic outcomes and radiologic recurrences are reported. Results: There were 65 patients. Average clinical follow-up was 14 months. Median dorsiflexion and eversion preoperatively were 2/5 and 4/5, respectively. Median dorsiflexion and eversion at last follow-up postoperatively were 5/5. Radiologic recurrence occurred in 6 (9%) patients, all extraneural. Discussion: The data support excellent postoperative motor outcomes, despite frequent dense weakness of peroneal-innervated musculature preoperatively. The surgical approach appears to eliminate risk of intraneural recurrence and minimizes risk of extraneural recurrence.
| Original language | English (US) |
|---|---|
| Journal | Muscle and Nerve |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- Ganglion cyst
- Intraneural cyst
- Outcomes
- Peroneal nerve
- Superior tibiofibular joint
ASJC Scopus subject areas
- Physiology
- Clinical Neurology
- Cellular and Molecular Neuroscience
- Physiology (medical)
Cite this
Outcomes following surgery for peroneal intraneural ganglion cysts. / Wilson, Thomas J.; Mauermann, Michelle M; Rock, Michael G.; Spinner, Robert J.
In: Muscle and Nerve, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Outcomes following surgery for peroneal intraneural ganglion cysts
AU - Wilson, Thomas J.
AU - Mauermann, Michelle M
AU - Rock, Michael G.
AU - Spinner, Robert J.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Introduction: The objective of this study was to answer the typical questions from patients regarding the likely neurologic outcome and likelihood of recurrence when discussing peroneal intraneural ganglion cysts preoperatively. Methods: Retrospective analysis of all patients who underwent surgery for a peroneal intraneural ganglion cyst between January 1, 2000, and April 1, 2017, was performed. Postoperative neurologic outcomes and radiologic recurrences are reported. Results: There were 65 patients. Average clinical follow-up was 14 months. Median dorsiflexion and eversion preoperatively were 2/5 and 4/5, respectively. Median dorsiflexion and eversion at last follow-up postoperatively were 5/5. Radiologic recurrence occurred in 6 (9%) patients, all extraneural. Discussion: The data support excellent postoperative motor outcomes, despite frequent dense weakness of peroneal-innervated musculature preoperatively. The surgical approach appears to eliminate risk of intraneural recurrence and minimizes risk of extraneural recurrence.
AB - Introduction: The objective of this study was to answer the typical questions from patients regarding the likely neurologic outcome and likelihood of recurrence when discussing peroneal intraneural ganglion cysts preoperatively. Methods: Retrospective analysis of all patients who underwent surgery for a peroneal intraneural ganglion cyst between January 1, 2000, and April 1, 2017, was performed. Postoperative neurologic outcomes and radiologic recurrences are reported. Results: There were 65 patients. Average clinical follow-up was 14 months. Median dorsiflexion and eversion preoperatively were 2/5 and 4/5, respectively. Median dorsiflexion and eversion at last follow-up postoperatively were 5/5. Radiologic recurrence occurred in 6 (9%) patients, all extraneural. Discussion: The data support excellent postoperative motor outcomes, despite frequent dense weakness of peroneal-innervated musculature preoperatively. The surgical approach appears to eliminate risk of intraneural recurrence and minimizes risk of extraneural recurrence.
KW - Ganglion cyst
KW - Intraneural cyst
KW - Outcomes
KW - Peroneal nerve
KW - Superior tibiofibular joint
UR - http://www.scopus.com/inward/record.url?scp=85041620992&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85041620992&partnerID=8YFLogxK
U2 - 10.1002/mus.26062
DO - 10.1002/mus.26062
M3 - Article
C2 - 29315664
AN - SCOPUS:85041620992
JO - Muscle and Nerve
JF - Muscle and Nerve
SN - 0148-639X
ER -