Symptomatic Forearm Muscle Hernia: Repair by Autologous Fascia Lata Inlay

golshani, Shapour D.; Lee, Chen; Sydorak, Roman M.

doi:10.1097/00000637-199943020-00018

Cited by 5 publications

(9 citation statements)

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“…Although both patients did well, one developed an asymptomatic hernia at the donor site. This same technique was refined to an inla y repair, and was used successfully in one patient as described by Golshani et al 3 . To avoid the morbidity of a secondary donor site, Giladrino et al had a successful repair of an upper extremity hernia using prolene mesh instead of fascia lata 4 .…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, some advocate completion of the fascial release, which does not address the fascial defect problem 1 . Other repair techniques have the disadvantage of requiring the use of additional donor sites such as tensor fascia lata 2–3, 5 or alloplastic materials such as synthetic meshes 4 that cannot become fully bio-incorporated. We describe two cases of symptomatic forearm hernias that were successfully treated by repairing the hernia using an acellular dermal matrix with an inlay technique that has not been previously described for forearm hernia repair.…”

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confidence: 99%

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Repair of Symptomatic Forearm Hernias Using Acellular Dermal Matrix—Two Case Reports

Kozlow

Beil

Chung

2010

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Repair of Symptomatic Forearm Hernias Using Acellular Dermal Matrix—Two Case Reports

Kozlow

Beil

Chung

2010

The Journal of Hand Surgery

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“…There are different operative procedures, including direct repair [29,30] fascial grafting, [9,23,31,32] fasciotomy [5,16,18]and more recently, mesh grafting[6,7]. …”

Section: Discussionmentioning

confidence: 99%

Gastrocnemius muscle herniation as a rare differential diagnosis of ankle sprain: case report and review of the literature

et al. 2012

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BackgroundMuscle herniation of the leg is a rare clinical entity. Yet, knowing this condition is necessary to avoid misdiagnosis and delayed treatment. In the extremities, muscle herniation most commonly occurs as a result of an acquired fascial defect, often due to trauma. Different treatment options for symptomatic extremity muscle herniation in the extremities, including conservative treatment, fasciotomy and mesh repair have been described.Case presentationWe present the case of a patient who presented with prolonged symptoms after an ankle sprain. The clinical picture showed a fascial insufficiency with muscle bulging under tension. Ultrasound and MRI imaging confirmed the diagnosis of muscle hernia of the medial gastrocnemius on the right leg. Conservative treatment did not lead to success. Therefore, the fascial defect was treated surgically by repairing the muscle herniation using a synthetic vicryl propylene patch.ConclusionsMuscle hernias should be taken into consideration as a rare differential diagnosis whenever patients present with persisting pain or soft tissue swelling after ankle sprain. Diagnosis is mainly based on clinical aspect and physical examination, but can be confirmed by radiologic imaging techniques, including (dynamic) ultrasound and MRI. If conservative treatment fails, we recommend the closure with mesh patches for large fascial defects.

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“…Although relatively more common in the leg, its occurrence in the forearm is not unknown. There have been only 11 previous reports in the literature describing forearm muscle hernias [1]. A number of different techniques have been advocated for the management of this condition, including proximal and distal fasciotomies, palmaris longus interweave and fascia lata onlay graft [2,3].…”

Section: Discussionmentioning

confidence: 99%