Ganglion Cyst Removal from the Common Peroneal Nerve at Fibular Head

Ganglion Cyst Removal from the Common Peroneal Nerve at Fibular Head

Courtesy: WUSTL Peripheral Nerve Surgery, Washington University School of Medicine
Division of Plastic Reconstructive Surgery
Department of Surgery
Saint Louis, MO, USA
Ganglion Cyst Removal in the Common Peroneal Nerve at the Fibular Head
Standard Version (5.120213.120203)

There are various causes of common peroneal nerve palsy, however common peroneal nerve palsy caused by a ganglion cyst is uncommon. A benign tumor within the nerve sheath can cause compression and present with symptoms of neuropathy depending on the level of injury. In this specific case, the patient presented with a ganglion cyst in the common peroneal nerve at the fibular head. Typically, a ganglion cyst presents with a sudden onset of severe pain that is associated with a motor palsy. Magnetic resonance imaging revealed a cystic-appearing mass anterior to the fibular head, which was confirmed with a palpable mass. This resulted in compression neuropathy of the peroneal nerve. The surgical intervention included removal of the ganglion cyst and the decompression of the common peroneal nerve at the fibular head.

Table of Contents
00:10 Orientation
00:15 Incision
00:24 Superficial Exposure
00:54 Exposure through the Superficial Fascia and Identifying the Common Peroneal Nerve
01:15 Identifying the Ganglion Cyst
01:23 Decompression of the Common Peroneal Nerve
01:52 Identification and Release of the Posterior Crural Intermuscular Septum
02:07 Identification and Release of the Intermuscular Septum
02:37 Identification and Release of the Anterior Crural Intermuscular Septum
03:37 Ganglion Cyst Removal along the Common Peroneal Nerve
05:15 Ganglion Cyst Removal along the Tibialis Anterior Nerve Branch
06:19 Identification and Release of the Deep Tendinous Fascia
06:41 Inspection of the Common Peroneal Nerve

Narration: Susan E. Mackinnon
Videography: Andrew Yee

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