Bilateral multiple muscle hernias of the leg repaired with Marlex mesh

Muscle hernias of the leg: A case report and comprehensive review of the literature

“…A variety of surgical techniques have been described, ranging from fasciotomy to anatomical repair of the fascial defect, with no consensus. Described treatments include decompressive fasciotomy (16,17,20,24,39,45,46,62), direct primary fascial repair (1,11,15,20,26,36,39,41,47), tibial periosteal flap (37,63), fascial patch grafting or stripping (woven strips of fascia) using autologous fascia lata (1,2,4,15,31,33) and the use of synthetic mesh (23,30,36,40,48,52,54). Partial muscle excision has been described as a solitary treatment and as an adjunct for excessive muscle volume interfering with repair (1,14).…”

The symptomatic tibialis anterior hernia: Case report and a new rationale for treatment

“…However, this is often not possible and if attempted can fail, causing a recurrence of the hernia. 8 This technique is also likely to increase intracompartmental pressure because the compartment is, in effect, made smaller. This elevation of pressure is accentuated in the postoperative period by oedema, predisposing the patient to developing compartment syndrome in the anterior compartment.…”

“…11 Traumatic muscle hernias are either direct following an open injury to the leg, or indirect following a blow to a contracted muscle causing rupture of the fascia and consequent herniation of the muscle. 8 The tibialis anterior muscle hernia is the most frequent muscle hernia of the lower extremities. 10 Other muscle hernias in the leg are rarer but have been reported in extensor digitorum longus, 5 peroneus longus, 4 peroneus brevis 13 and gastrocnemius.…”

An Interesting Case of Post Traumatic Tibialis Anterior Muscle Herniation

“…Traumatic muscle hernias are either direct following an open injury to the leg, or indirect following a repeated blunt trauma to a contracted muscle causing rupture of the fascia and consequent herniation of the muscle. 6 Constitutional hernias are caused by chronic stress on the fascia from the underlying muscle. It has been suggested that the fenestrations in the fascia through which perforating veins enter enlarge and eventually muscle hernias bulge through these openings in the fascia.…”

“…However, this is often not possible in larger defects and if attempted can fail, causing a recurrence of the hernia. 6 This technique is also likely to increase intra-compartmental pressure because the compartment is, in effect, made smaller. This elevation of pressure is accentuated in the postoperative period by oedema, predisposing the patient to developing compartment syndrome in the anterior compartment.…”