Ganglion Cyst Removal in the Common Peroneal Nerve at the Fibular Head - Dr. Susan Mackinnon

Video Description

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
00:30 Orientation
01:01 Incision
01:37 Superficial Exposure
03:02 Exposure through the Superficial Fascia and Identifying the Common Peroneal Nerve
03:54 Identifying the Ganglion Cyst
04:22 Decompression of the Common Peroneal Nerve
04:31 Identification and Release of the Posterior Crural Intermuscular Septum
06:27 Identification and Release of the Intermuscular Septum
07:43 Identification and Release of the Anterior Crural Intermuscular Septum
09:49 Ganglion Cyst Removal along the Common Peroneal Nerve
12:46 Ganglion Cyst Removal along the Tibialis Anterior Nerve Branch
15:24 Identification and Release of the Deep Tendinous Fascia
15:57 Inspection of the Common Peroneal Nerve

Narration: Susan E. Mackinnon
Videography: Andrew Yee
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