Tendoscopic Excision of an Intratendinous Ganglion in the Flexor Hallucis Longus Tendon: A Case Report

Endo, Jun; Yamaguchi, Satoshi; Sasho, Takahisa

doi:10.1053/j.jfas.2014.10.007

Cited by 5 publications

(1 citation statement)

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“…We reviewed previous cases of intratendinous ganglions that occurred in the lower extremities. Shimozono et al [ 15 ] and Endo et al [ 17 ] only performed excisions of the ganglions because none of the cases had any soft tissue to compensate for the muscle strength of the FHL tendon; good clinical results were obtained without recurrence. Kim et al [ 3 ] also performed an excision of the ganglion to preserve semimembranosus tendon function; however, they noted a recurrence that was thought to be due to incomplete excision.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of intratendinous ganglion due to incomplete excision of satellite lesion in the extensor digitorum brevis tendon: A case report

Park¹,

Seok²,

Yan³

et al. 2022

World J Clin Cases

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BACKGROUND Intratendious ganglions are rare lesions, especially on the foot and ankle. Although several studies have presented the intratendinous ganglion of the foot and ankle, there are only few reported cases, and no cases of recurrence or secondary surgery have been reported. CASE SUMMARY We present the case of a 32-year-old man with an intratendinous ganglion of the second extensor digitorum brevis (EDB) tendon that recurred after ganglion excision. Magnetic resonance imaging (MRI) performed before the first surgery was reviewed to analyze the causes of the recurrence. We confirmed that there was a lack of satellite detection. After recurrence, MRI revealed an extra-tendinous lesion, tenosynovitis, and intratendinous ganglion of the second EDB tendon. Since the second EDB tendon can compensate for the extrinsic muscle, en bloc resection was performed alone. In addition, meticulous excision and synovectomy were performed for extra-tendinous lesions and tenosynovitis, respectively. The patient returned to daily life without any functional problems or recurrence. CONCLUSION If removal of the affected tendon is not fatal, en bloc resection should first be considered to prevent incomplete excision and intraoperative leakage. When planning surgical excision, it is necessary to evaluate the presence of satellite lesions along the course of the affected tendon.

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Section: Discussionmentioning

confidence: 99%