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01-04-2010 | Case Report

Value of computed tomography arthrography with delayed acquisitions in the work-up of ganglion cysts of the tarsal tunnel: report of three cases

Authors: Patrick Omoumi, Antoine de Gheldere, Thibaut Leemrijse, Christine Galant, Peter Van den Bergh, Jacques Malghem, Paolo Simoni, Bruno C. Vande Berg, Frédéric E. Lecouvet

Published in: Skeletal Radiology | Issue 4/2010

Abstract

Ganglion cysts are a common cause of tarsal tunnel syndrome. As in other locations, these cysts are believed to communicate with neighboring joints. The positive diagnosis and preoperative work-up of these cysts require identification and location of the cyst pedicles so that they may be excised and the risk of recurrence decreased. This can be challenging with ultrasonography and magnetic resonance (MR) imaging. We present three cases of symptomatic ganglion cysts of the tarsal tunnel, diagnosed by MR imaging, where computed tomography (CT) arthrography with delayed acquisitions helped to confirm the diagnosis and identify precisely the topography of the communication with the subtalar joint. These cases provide new evidence of the articular origin of ganglion cysts developing in the tarsal tunnel.

Malghem J, Vande Berg BC, Lebon C, Lecouvet FE, Maldague BE. Ganglion cysts of the knee: articular communication revealed by delayed radiography and CT after arthrography. AJR Am J Roentgenol. 1998;170:1579–83.PubMed

Fujita I, Matsumoto K, Minami T, Kizaki T, Akisue T, Yamamoto T. Tarsal tunnel syndrome caused by epineural ganglion of the posterior tibial nerve: report of 2 cases and review of the literature. J Foot Ankle Surg. 2004;43:185–90. doi:10.1053/j.jfas.2004.03.004 CrossRefPubMed

Spinner RJ, Dellon AL, Rosson GD, Anderson SR, Amrami KK. Tibial intraneural ganglia in the tarsal tunnel: is there a joint connection? J Foot Ankle Surg. 2007;46:27–31. doi:10.1053/j.jfas.2006.10.002 CrossRefPubMed

Erickson SJ, Quinn SF, Kneeland JB, Smith JW, Johnson JE, et al. MR imaging of the tarsal tunnel and related spaces: normal and abnormal findings with anatomic correlation. AJR Am J Roentgenol. 1990;155:323–8.PubMed

Takakura Y, Kitada C, Sugimoto K, Tanaka Y, Tamai S. Tarsal tunnel syndrome. Causes and results of operative treatment. J Bone Joint Surg Br. 1991;73:125–8.PubMed

Reade BM, Longo DC, Keller MC. Tarsal tunnel syndrome. Clin Podiatr Med Surg. 2001;18:395–408.PubMed

Nagaoka M, Matsuzaki H. Ultrasonography in tarsal tunnel syndrome. J Ultrasound Med. 2005;24:1035–40.PubMed

Lam SJ. Tarsal tunnel syndrome. J Bone Joint Surg Br. 1967;49:87–92PubMed

Høgh J. Benign cystic lesions of peripheral nerves. Int Orthop. 1988;12:269–71.CrossRefPubMed

10.

Spinner RJ, Atkinson JLD, Tiel RL. Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory. J Neurosurg. 2003;99:330–43. doi:10.3171/jns.2003.99.2.0330 CrossRefPubMed

11.

Spinner RJ, Mokhtarzadeh A, Schiefer TK, Krishnan KG, Kliot M, et al. The clinico-anatomic explanation for tibial intraneural ganglion cysts arising from the superior tibiofibular joint. Skeletal Radiol. 2007;36:281–92. doi:10.1007/s00256-006-0213-2.CrossRefPubMed

12.

Spinner R, Desy N, Amrami K. Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint. Skeletal Radiol. 2008;37:79–84. doi:10.1007/s00256-007-0400-9.CrossRefPubMed

13.

Rosson GD, Spinner RJ, Dellon AL. Tarsal tunnel surgery for treatment of tarsal ganglion: a rewarding operation with devastating potential complications. J Am Podiatr Med Assoc. 2005;95:459–63PubMed

14.

Daffner RH, Whitfield PW. Recurrent ganglion cyst: the value of preoperative ganglionography. AJR Am J Roentgenol. 1977;129:345–6.PubMed

15.

Spinner RJ, Carmichael SW, Wang H, Parisi TJ, Skinner JA, et al. Patterns of intraneural ganglion cyst descent. Clin Anat. 2008;21:233–45. doi:10.1002/ca.20614.CrossRefPubMed

16.

Buckwalter JA, Dryer RF, Mickelson MR. Arthrography in juxta-articular cysts of the knee. Two cases diagnosed by delayed roentgenograms. J Bone Joint Surg Am. 1979;61:465.PubMed

17.

Spinner RJ, Amrami KK, Rock MG. The use of MR arthrography to document an occult joint communication in a recurrent peroneal intraneural ganglion. Skeletal Radiol. 2006;35:172–9. doi:10.1007/s00256-005-0036-6.CrossRefPubMed

18.

Spinner RJ, Edwards PK, Amrami KK. Application of three-dimensional rendering in joint-related ganglion cysts. Clin Anat. 2006;19:312–22. doi:10.1002/ca.20292.CrossRefPubMed

19.

Jacobs RR, Maxwell JA, Kepes J. Ganglia of the nerve. Presentation of two unusual cases, a review of the literature, and a discussion of pathogenesis. Clin Orthop Relat Res. 1975;(113):135–44.

20.

Spinner RJ, Amrami KK, Wolanskyj AP, Desy NM, Wang H, et al. Dynamic phases of peroneal and tibial intraneural ganglia formation: a new dimension added to the unifying articular theory. J Neurosurg. 2007;107:296–307. doi:10.3171/JNS-07/08/0296 CrossRefPubMed

Title: Value of computed tomography arthrography with delayed acquisitions in the work-up of ganglion cysts of the tarsal tunnel: report of three cases
Authors: Patrick Omoumi
Antoine de Gheldere
Thibaut Leemrijse
Christine Galant
Peter Van den Bergh
Jacques Malghem
Paolo Simoni
Bruno C. Vande Berg
Frédéric E. Lecouvet
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 4/2010
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-009-0864-x

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Value of computed tomography arthrography with delayed acquisitions in the work-up of ganglion cysts of the tarsal tunnel: report of three cases

Abstract

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