Tibial Periosteal Ganglion Cyst: The Ganglion in Disguise
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Ganglions are cysts derived from the myxomatous degeneration of connective tissue which arise usually from the tendon sheaths of the wrist or foot. Rarely, ganglions arise from the periosteum of long tubular bones, causing periosteal reaction and cortical erosion with extension into the overlying soft tissue, thus mimicking more sinister pathology. However, accurate radiological and histopathological assessment clinches the diagnosis of this rare condition, with few cases reported in the literature so far. We report a clinical case of this lesser known ganglion in disguise, located atypically in the mid-tibial shaft, without ligamentous or joint connection, along with its radiological differentials.

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