Tibialis Anterior Muscle Herniation Research Articles

A Traumatic Neuroma Formation Following Fasciotomy for the Treatment of Tibialis Anterior Muscle Herniation: A Case Report

Muscle herniation of the lower extremity, such as tibialis anterior muscle herniation (TAMH), is not a rare cause of leg pain in athletes. However, a few studies have reported surgical treatment for TAMH, and the optimal surgical procedure remains controversial. Fasciotomy was reported to be effective for patients with TAMH. However, this procedure would be associated with a risk of intraoperative injury to the superficial peroneal nerve (SPN), although no previous literature has reported this complication. This case report aimed to report a case of bilateral TAMHs in which a traumatic neuroma of the SPN developed after fasciotomy. A 16-year-old baseball player presented with painful swelling lesions of the bilateral lower extremities (1 lesion on the right, 3 lesions on the left) after sports activities. An ultrasonographic evaluation showed swelling lesions of the anterolateral parts of the bilateral lower extremities in the standing position after dashing, while these lesions were not detected in the supine position. A fasciotomy of the crural fascia was performed after conservative treatment failed. Several days after surgery, the patient presented with weakened touch sensation over the dorsal area of the left foot. At the three-month follow-up examination, a swelling lesion with hard elasticity was identified. The palpation of this lesion caused a radiating sensation in the area supplied by the SPN. He was able to return to playing baseball six months after surgery. The patient was asymptomatic without palpation of the traumatic neuroma of the SPN at the latest follow-up examination. In conclusion, the present case report suggests that orthopedic surgeons need to consider the risk of iatrogenic injury to the SPN during fasciotomy for the treatment of TAMHs. However, there may be a risk of injuring the SPN because of the many variants of the course of the SPN within the compartment of the lower extremities.

Periosteal Rotation Flap Technique in Management of Tibialis Anterior Muscle Hernia: A Case Series

Introduction: Traumatic herniation of the leg muscle is not an uncommon condition. This may be a direct traumatic hernia caused by open injury to the leg, or an indirect traumatic hernia following blow to a contracted muscle causing rupture of the fascia and its consequent herniation. Tibialis anterior muscle herniation has been reported to be the most common form of muscle hernia of the lower extremities. Materials and Methods: We report on 3 cases of traumatic herniation of the tibialis anterior muscle who were treated using a periosteal rotation flap raised from the anteromedial aspect of the tibia and used to close the fascial defect. Conclusions: We have found this to be a safe surgical procedure in the adult and adolescent age group with satisfying results and reduced recurrence rate and postoperative complications.

Tibialis anterior muscle hernia: A rare cause of leg pain. Case report and review of the literature

Abstract Introduction Muscular hernias in the lower limb are a rare entity that have seldom been described in the literature, from 1929 about 200 cases of muscle hernias have been described. Case Here, we present a case of tibialis anterior muscle hernia and discuss the aetiology behind the same. Furthermore, we attempt to amalgamate existing knowledge to provide some guidance for investigation and management of this important diagnostic consideration. Conclusion Lower limb hernias are rare but should be considered as a differential for unidentified lower limb swellings. There is no clear consensus in literature about treatment, so every case must be individualized.

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

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.

Surgical Repair of Tibialis Anterior Muscle Herniation Using a Synthetic Mesh That Was Beneath the Fascia after a Military Training Program: A Case Report

Surgical Repair of Tibialis Anterior Muscle Herniation Using a Synthetic Mesh That Was Beneath the Fascia after a Military Training Program: A Case Report

Double layer repair of tibialis anterior muscle hernia in a soccer player: a case report and 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 Soldier with Chronic Lower Leg Pain Due to Muscle Herniation

A 28-year-old soldier presented with chronic right-lower-leg pain that had persisted for the past 18 months. Following previous primary care and specialty referrals, he had been diagnosed with atraumatic compartment syndrome. Prior lower-extremity magnetic resonance imaging (MRI) had been evaluated as normal. Subsequent physical examination revealed an appreciable soft-tissue depression, which became elevated after brief exercise. Ultrasonography confirmed this to be a previously undiagnosed fascial defect of the anterolateral compartment with tibialis anterior muscle herniation.

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

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. 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. 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. 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.

Tibialis Anterior Kası Herniasyonu: MRG Bulguları

The tibialis anterior muscle herniation has been the frequently seen muscle herniation at the lower extremity. In this study, it is intended to present the MRI diagnosis of a patient who has tibialis anterior muscle herniation by examining the literature. The detailed right cruris MRI investigation was done to a patient, 49 years old and applied with complaints a pain at right leg continuing for two years and like a mass can be feeled by palpation. Right tibialis anterior muscle herniation was determined by the cruris MRI. Muscle herniation may be either asymptomatic or subcutaneous nodul, complaints like a change of the skin color or a pain at the related region. Anterior tibialis muscle herniation should be distinguished from soft tissue pathologies like varicosis, lipoma, angiolipoma or fibroma.

The importance of dynamic ultrasound in the diagnosis of tibialis anterior muscle herniation.

Tibialis anterior muscle hernia is a challenging diagnosis. Ultrasound findings generally are negative because patients come to ultrasound study from home when they are at rest. When the operator of ultrasound suspects a muscle hernia, he has to scan the affected limb or the affected organ dynamically at rest and after stressing the limb. Here, we present a case of a 19-year-old dancer with anterior leg mass with negative ultrasonographic findings at rest but was diagnosed with tibialis anterior hernia after stress dynamic ultrasound.

Anterior Tibial Muscle Hernia Treated with Local Periosteal Rotational Flap - A Case Report -

Muscle can be protruded through a defect of the fascia into the subcutaneous fat and present clinically as a soft-tissue mass. Although most cases of muscle hernia are asymptomatic and don ’t require operative treatment, a few patients, often athletes, present with severe pain or cramps require surgery. We report a case of tibialis anterior muscle hernia treated with a local periosteal rotational flap.

Bilateral tibialis anterior muscle herniation simulating a soft tissue tumour in a young amateur football player

Muscle herniation is a focal protrusion of muscle tissue through a defect in the deep fascial layer. Anterior tibial muscle is the most commonly affected muscle of the lower extremities because its fascia is the most vulnerable to trauma. Clinically it is characterized by asymptomatic or painful, skin-coloured, soft, subcutaneous nodules of various size depending on the position. The diagnosis is usually made clinically based on its typical manifestations, but ultrasonographic examination is useful for detecting the fascial defect and excluding other conditions caused by soft tissue tumours such as lipomas, angiolipomas, fibromas, schwannomas or varicosities. Although this entity is not rare, it has been less well documented in the dermatological literature. We report a case of bilateral tibialis anterior muscle herniation mimicking a soft tissue tumour in a young amateur football player.

Abnormal presentation of tibialis anterior herniation

Herniation of muscle tissue through a defect in the fascial sheath is rare; it is extremely uncommon for a patient to present in a clinic with a symptomatic muscle hernia. The usual presentation of a tibialis anterior muscle herniation is a bulge seen at the level of a fascial defect which decreases in size or disappears when the muscle contracts. We report an abnormal presentation of a tibialis anterior herniation in which the herniation swelling became more prominent on muscle contraction instead of diminishing. It is hypothesized that an increased pressure in leg compartment leads to a partially avascular and less responsive posterior portion of tibialis anterior muscle. This fixed volume of non-contracting muscle is then pushed out through the fascial defect during active muscle contraction. The herniation in this particular case was treated by enlarging the fascial defect. No recurrence was noted in a 12 months follow-up.

Painful piezogenic pedal papules: response to local etectro-acupuncture

We report the case of a woman who had pain in both heels which was exacerbated by long periods of exercise. On examination, there were small flesh-coloured papules which appeared over the medial and lateral aspects of the heels only on weight bearing. Coincidentally, she was noted to have larger flesh-coloured papules over the anterior surface of the shins. The diagnoses of painful piezogenic pedal papules and bilateral tibialis anterior muscle herniation, respectively, were made. After many attempts to control the pain, a course of electro-acupuncture was commenced. A good subjective clinical response was achieved which has been maintained by fortnightly treatments. We discuss the prevalence, pathogenesis and treatment of painful piezogenic pedal papules. We believe that our patient is the first to have 'herniations' at both heel and shin sites and the first to have successful sustained pain relief for painful piezogenic pedal papules.