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Periosteal ganglion is a rare type of ganglia most commonly located in the tibia. The clinical outcomes after surgical excision have not been documented in literature. We report a case of a periosteal ganglion in the proximal tibia with repeated recurrences despite surgical excisions. Magnetic resonance imaging (MRI), contrast arthrogram, and arthroscopy may have their values, especially for the detection of intra-articular communication in juxta-articular lesions.