Ganglion Cyst Extensor Digitorum Longus Tendon

Tenolysis and excision of the associated mass has proven to be a relatively safe and successful procedure especially in highly demanded.

Ganglion cyst extensor digitorum longus tendon. Rarely they are found within the tendon. Clinical suspicion and magnetic resonance imaging are valuable in establishing the diagnosis. We present the first reported case of an intratendinous ganglion cyst in an extensor digitorum longus edl tendon of the foot. Two distinct swellings were identified on surgical exploration including a 6 1cm ganglion lying within the edl tendon substance that had resulted in tendon splitting.

It contains clear gelatinous fluid. To date only 10 cases in english papers and 7 cases in domestic papers on. Ultrasound suggested a ganglion cyst in proximity to the edl tendon of the 5th toe. Causes for ganglion cyst the aetiology is yet to be known.

It is important to be aware of potential tendon involvement for ganglion cysts as surgeons must be prepared to perform tendon repairs in addition to mass excisions if the tendon is compromised. The ganglion was located predominantly on the dorsal part of the tear with intratendinous. We present the first reported case of an intratendinous ganglion cyst in an extensor digitorum longus edl tendon of the foot. Ganglion cyst is the most common benign tumor arising from the hand and wrist.

We postulate that the extensor digitorum tendon of the middle finger was injured during attempted venepuncture. We present the first reported case of an intratendinous ganglion cyst in an extensor digitorum longus edl tendon of the foot. Intratendinous ganglion however are rare. We focus our report on the clinical presentation radiographic findings and treatment implications for intratendinous ganglions of the feet.

A 35 year old presented with a left sided painful dorsolateral foot swelling. The clinical history reported by the patient site of the skin puncture and the longitudinal orientation with a dorsal to volar pattern of the focal tear would support the above theory. We present the first reported case of an intratendinous ganglion cyst in the extensor digitorum longus tendon of the 5th toe discovered upon surgical excision of a separate adjacent ganglion. Tendon associated ganglion cyst is not usual although flexor hallucis longus tendinopathy is common in athletes.

Intratendinous ganglion however are rare. A ganglion cyst is a localised tense cystic swelling in connection with the joint capsule or tendon sheath. Differential diagnosis ganglion cyst lymphangioma malignancy less likely final diagnosis a presumptive diagnosis of ganglion cyst in the flexor digitorum longus tendon was made and was supported by mri. The lesions were excised.

The mid dorsal metacarpal vein is intimately related to the extensor digitorum tendon of the middle finger.