Bilateral Muscle Hernias of the Anterior Tibial Muscle

Angadi, Darshan; Rampaul, R.S.; Akthar, Irfan; Makdhoomi, Khalid

doi:10.3113/fai.2007.0520

Cited by 11 publications

(13 citation statements)

References 1 publication

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“…Additionally, reports have described involvement of peroneus longus (17,44), peroneus brevis (11,14,38,45), extensor digitorum longus (16,46), gastrocnemius (38,(47)(48)(49)(50)(51) and flexor digitorum longus (14). Bilateral (usually symmetrical) involvement (1,3,14,26,27,29,36,52,53) and multiple hernias within the same muscle (3,4,14,34,36) have been described in the leg. Although located in the thigh, there have also been reports of iatrogenically induced hernias involving the vastus lateralis and rectus femoris as a complication following an anterolateral thigh perforator flap (54,55) and after fascia lata harvest for cruciate ligament repair (56).…”

Section: Discussionmentioning

confidence: 99%

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

Nguyen

Wheatley

et al. 2013

Canadian Journal of Plastic Surgery

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A case involving a retired, elderly male war veteran with a symptomatic peroneus brevis muscle hernia causing superficial peroneal nerve compression with chosen surgical management is presented. Symptomatic muscle hernias of the extremities occur most commonly in the leg and are a rare cause of chronic leg pain. Historically, treating military surgeons pioneered the early documentation of leg hernias observed in active military recruits. A focal fascial defect can cause a muscle to herniate, forming a variable palpable subcutaneous mass, and causing pain and potentially neuropathic symptoms with nerve involvement. While the true incidence is not known, the etiology has been classified as secondary to a congenital (or constitutional) fascial weakness, or acquired fascial defect, usually secondary to direct or indirect trauma. The highest occurrence is believed to be in young, physically active males. Involvement of the tibialis anterior is most common, although other muscles have been reported. Dynamic ultrasonography or magnetic resonance imaging is often used to confirm diagnosis and guide treatment. Most symptomatic cases respond successfully to conservative treatment, with surgery reserved for refractory cases. A variety of surgical techniques have been described, ranging from fasciotomy to anatomical repair of the fascial defect, with no consensus on optimal treatment. Clinicians must remember to consider muscle hernias in their repertoire of differential diagnoses for chronic leg pain or neuropathy. A comprehensive review of muscle hernias of the leg is presented to highlight their history, occurrence, presentation, diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

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

Nguyen

Wheatley

et al. 2013

Canadian Journal of Plastic Surgery

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“…Awareness of these defects is necessary to avoid misdiagnosis and delayed treatment especially in athletes. Muscle hernias have been classified into traumatic and constitutional origin [9][10][11] . Anterior tibial muscle is the most commonly affected muscle of the lower extremities because its fascia is the most vulnerable to trauma.…”

Section: Discussionmentioning

confidence: 99%

Double layer repair of tibialis anterior muscle hernia in a soccer player: a case report and review of the literature

Dönmez

Evrenos²,

Cereb³

et al. 2019

Muscle Ligaments and Tendons J

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Background: muscle herniations usually present in athletes especially in the lower legs; occurring through defects in the deep fascial layer of the muscles and typically seen following local blunt trauma or muscle hypertrophy after strenuous exercise. Management of muscle hernias varies from conservative therapy to surgical repair and usually needs multidisciplinary collaboration for differential diagnosis. Methods: herein tibialis anterior muscle hernia in 17-year-old male soccer player was presented. The diagnosis was confirmed with dynamic ultrasonographic views changing with the different movements of the ankle. Since the symptoms were not relieved with conservative methods, surgical repair of the defect was offered. Results: we preferred to repair fascial defect with double layer and Mesh graft that were placed over primary suture repair. No complications were reported such as wound or mesh infection postoperatively. The patient was clinically satisfied and returned his previous activity level after 3 months of surgery. After 2 years of follow-up the feature of the bulge was dissolved and player was satisfied with the operation. Conclusion: knowledge of the lower extremity muscle herniation is essential for both proper management and/or surgical referral. The importance of protective devices in prevention, dynamic ultrasonography in diagnosis and double layer repair of the fascial defect with Mesh graft in treatment of muscle herniations were highlighted.

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“…Defects in the mesoderm, marked by uncoordinated muscle contractions can lead to weakness and ruptures of the fascia. Of those cases that are congenital, muscle hernias also become prevalent in the family history [5] and are usually bilateral [6]. Nonetheless, acquired hernias are more common than congenital ones [2].…”

Section: Discussionmentioning

confidence: 99%

A Rare Finding of Symptomatic Bilateral Lower Extremity Hernia

2014

Orthop Muscul Syst

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A muscle hernia of the lower extremity can occur when the overlying fascia has become weakened. Often it is diagnosed clinically as a soft bulge on active movement and can be confirmed by ultrasound or MRI. If conservative treatment is not effective, surgical fascial reinforcement is required for either cosmetic reasons or clinically symptomatic patients. We are presenting a case of symptomatic, bilateral lower extremity hernias.

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Bilateral Muscle Hernias of the Anterior Tibial Muscle

Cited by 11 publications

References 1 publication

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

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

Double layer repair of tibialis anterior muscle hernia in a soccer player: a case report and review of the literature

A Rare Finding of Symptomatic Bilateral Lower Extremity Hernia

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