The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel

Albert M. Isaacs, Rajiv Midha, Nicholas M. Desy, Kimberly K. Amrami, Robert J. Spinner

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Intraneural ganglion cysts in the tarsal tunnel are rare. We present a patient who had an intraneural ganglion cyst involving the medial and lateral plantar and distal tibial nerves. Magnetic resonance imaging revealed evidence to support the joint-related (i.e., subtalar) origin of the cyst. Careful reinterpretation of the imaging supported a phasic mechanism (i.e., cross-over) to explain the interrelated pathogenesis of the intraneural cyst within the three nerves. This mechanism is analogous to that described for the prototypes—the peroneal, tibial and sciatic nerves in the knee region—and can be generalized to other nerves in the foot and ankle region. We believe that understanding the pathogenesis sheds light on the effective treatment.

Original languageEnglish (US)
Pages (from-to)2225-2229
Number of pages5
JournalActa Neurochirurgica
Volume158
Issue number11
DOIs
StatePublished - Nov 1 2016

Fingerprint

Ganglion Cysts
Tibial Nerve
Ganglia
Cysts
Peroneal Nerve
Sciatic Nerve
Ankle
Foot
Knee
Joints
Magnetic Resonance Imaging
Therapeutics

Keywords

  • Articular theory
  • Cross-over
  • Intraneural ganglion cyst

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel. / Isaacs, Albert M.; Midha, Rajiv; Desy, Nicholas M.; Amrami, Kimberly K.; Spinner, Robert J.

In: Acta Neurochirurgica, Vol. 158, No. 11, 01.11.2016, p. 2225-2229.

Research output: Contribution to journalArticle

Isaacs, Albert M. ; Midha, Rajiv ; Desy, Nicholas M. ; Amrami, Kimberly K. ; Spinner, Robert J. / The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel. In: Acta Neurochirurgica. 2016 ; Vol. 158, No. 11. pp. 2225-2229.
@article{a0a882df869f46f3966cab52e82de303,
title = "The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel",
abstract = "Intraneural ganglion cysts in the tarsal tunnel are rare. We present a patient who had an intraneural ganglion cyst involving the medial and lateral plantar and distal tibial nerves. Magnetic resonance imaging revealed evidence to support the joint-related (i.e., subtalar) origin of the cyst. Careful reinterpretation of the imaging supported a phasic mechanism (i.e., cross-over) to explain the interrelated pathogenesis of the intraneural cyst within the three nerves. This mechanism is analogous to that described for the prototypes—the peroneal, tibial and sciatic nerves in the knee region—and can be generalized to other nerves in the foot and ankle region. We believe that understanding the pathogenesis sheds light on the effective treatment.",
keywords = "Articular theory, Cross-over, Intraneural ganglion cyst",
author = "Isaacs, {Albert M.} and Rajiv Midha and Desy, {Nicholas M.} and Amrami, {Kimberly K.} and Spinner, {Robert J.}",
year = "2016",
month = "11",
day = "1",
doi = "10.1007/s00701-016-2930-1",
language = "English (US)",
volume = "158",
pages = "2225--2229",
journal = "Acta Neurochirurgica",
issn = "0001-6268",
publisher = "Springer Wien",
number = "11",

}

TY - JOUR

T1 - The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel

AU - Isaacs, Albert M.

AU - Midha, Rajiv

AU - Desy, Nicholas M.

AU - Amrami, Kimberly K.

AU - Spinner, Robert J.

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Intraneural ganglion cysts in the tarsal tunnel are rare. We present a patient who had an intraneural ganglion cyst involving the medial and lateral plantar and distal tibial nerves. Magnetic resonance imaging revealed evidence to support the joint-related (i.e., subtalar) origin of the cyst. Careful reinterpretation of the imaging supported a phasic mechanism (i.e., cross-over) to explain the interrelated pathogenesis of the intraneural cyst within the three nerves. This mechanism is analogous to that described for the prototypes—the peroneal, tibial and sciatic nerves in the knee region—and can be generalized to other nerves in the foot and ankle region. We believe that understanding the pathogenesis sheds light on the effective treatment.

AB - Intraneural ganglion cysts in the tarsal tunnel are rare. We present a patient who had an intraneural ganglion cyst involving the medial and lateral plantar and distal tibial nerves. Magnetic resonance imaging revealed evidence to support the joint-related (i.e., subtalar) origin of the cyst. Careful reinterpretation of the imaging supported a phasic mechanism (i.e., cross-over) to explain the interrelated pathogenesis of the intraneural cyst within the three nerves. This mechanism is analogous to that described for the prototypes—the peroneal, tibial and sciatic nerves in the knee region—and can be generalized to other nerves in the foot and ankle region. We believe that understanding the pathogenesis sheds light on the effective treatment.

KW - Articular theory

KW - Cross-over

KW - Intraneural ganglion cyst

UR - http://www.scopus.com/inward/record.url?scp=84983406105&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84983406105&partnerID=8YFLogxK

U2 - 10.1007/s00701-016-2930-1

DO - 10.1007/s00701-016-2930-1

M3 - Article

C2 - 27562681

AN - SCOPUS:84983406105

VL - 158

SP - 2225

EP - 2229

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

SN - 0001-6268

IS - 11

ER -