Tibialis anterior muscle herniation repaired with trevira tube: A surgical technique and review of literature

Abstract

Muscle herniation is an outpouching of the muscle tissue through the fascia covering it. Although it is considered a rare condition, some reports had been published with the concern of misdiagnosis. Lower limbs are considered the most common area of muscle herniation and tibialis anterior muscle is the commonest. Patients usually seek medical advice for pain, cosmetic purposes, or even a worrisome swelling. It can be constitutional in origin or acquired secondary to trauma. Clinical diagnosis is the mainstay for muscle herniation confirmed by imaging (magnetic resonance imaging and ultrasound). The majority are asymptomatic and surgical treatment is reserved for the symptomatic patients using a variety of methods. In our report, we present a case of traumatic tibialis anterior muscle herniation, repaired with trevira tube (polyethylene mesh graft). The patient was satisfied during 9 months of follow-up without immediate nor late complications.