A case of peroneal nerve palsy caused by an intraneural ganglion is present
ed. The cystic mass was located posterolateral to the lateral femoral condy
le and extended along the common peroneal nerve distal to the origin of the
peroneus longus muscle. The nerve was compressed in the narrow fibro-osseo
us tunnel against the fibula neck and the tight origin of the peroneus long
us muscle. The nerve was decompressed by complete tumor excision and transe
ction of the origin of the peroneus longus muscle. Full recovery of nerve f
unction was obtained in 6 months.