Arch Hand Microsurg.  2019 Dec;24(4):416-420. 10.12790/ahm.2019.24.4.416.

Surgical Decompression of Tarsal Tunnel Syndrome Associated with Ganglion Cyst: A Case Report

  • 1Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.


Ganglion cyst which originates from joint space can affect nearby nerves through an articular branch. Despite known as benign mucinous lesion, ganglion cyst can show significant fascicular invasion and expansion, resulting in compression neuropathy. Number of pathogenesis have been insisted but the most widely acknowledged one is synovial herniation hypothesis. It describes a capsular defect in joint and discharged fluid to aggregate as cyst along the epineurium of articular branch. Tarsal tunnel syndrome is an entrapment neuropathy of the tibial nerve or its branches in the tarsal tunnel of ankle. In this case report, we describe a case of ganglion cyst associated tarsal tunnel syndrome and its surgical treatment.


Ganglion cysts; Tarsal tunnel syndrome

MeSH Terms

Decompression, Surgical*
Ganglion Cysts*
Peripheral Nerves
Tarsal Tunnel Syndrome*
Tibial Nerve


  • Fig. 1 Preoperation: demonstrating posterior tibial nerve and artery under flexor retinaculum.

  • Fig. 2 Intraoperation 1: fusiform shaped white cyst and thickened perineural fibrous band.

  • Fig. 3 Intraoperation 2: release of flexor retinaculum.

  • Fig. 4 Excised ganglion cyst.

  • Fig. 5 Postoperation.


1. Singh SK, Wilson MG, Chiodo CP. The surgical treatment of tarsal tunnel syndrome. Foot. 2005; 15:212–216.
2. De Prado M, Cuervas-Mons M, Golanó P, Rabat E, Vaquero J. The tarsal tunnel syndrome. Fuß Sprunggelenk. 2015; 13:227–236.
3. Jerosch J, Schunck J, Khoja A. Results of surgical treatment of tarsal tunnel syndrome. Foot Ankle Surg. 2006; 12:205–208.
4. Cancilleri F, Ippolito M, Amato C, Denaro V. Tarsal tunnel syndrome: four uncommon cases. Foot Ankle Surg. 2007; 13:214–217.
5. Lee MF, Chan PT, Chau LF, Yu KS. Tarsal tunnel syndrome caused by talocalcaneal coalition. Clin Imaging. 2002; 26:140–143.
6. Alpar FK, Howell N, Masood I. Traumatic tarsal tunnel syndrome: the outcome of surgical decompression. Foot Ankle Surg. 2002; 8:41–44.
7. Suranigi S, Rengasamy K, Najimudeen S, Gnanadoss J. Extensive osteochondroma of talus presenting as tarsal tunnel syndrome: report of a case and literature review. Arch Bone Jt Surg. 2016; 4:269–272.
8. 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; 43:185–190.
9. Mullick T, Dellon AL. Results of decompression of four medial ankle tunnels in the treatment of tarsal tunnels syndrome. J Reconstr Microsurg. 2008; 24:119–126.
10. Ahmad M, Tsang K, Mackenney PJ, Adedapo AO. Tarsal tunnel syndrome: a literature review. Foot Ankle Surg. 2012; 18:149–152.
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