Journal of Musculoskeletal Trauma

Case Reports

Surgical Repair of Tibialis Anterior Muscle Herniation Using a Synthetic Mesh That Was Beneath the Fascia after a Military Training Program: A Case Report: Kyoung Ho Kim, Young Soo Shin; J Korean Fract Soc 2019;32(2):102-106. Published online April 30, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.2.102

Abstract PDF: Tibialis anterior muscle herniation is the most common type of skeletal muscle herniation of the lower legs. The treatment of muscle herniation relies on the patient's symptoms. For patients with chronic large fascial defects, fascial grafting with synthetic mesh can be considered. In this case of a patient who was exposed to excessive strain on his lower legs during a military training program, the use of a secure repair technique with synthetic mesh was required. This paper presents a case of tibialis anterior muscle herniation that was treated successfully with a monofilament knitted polypropylene mesh covered by the tibialis anterior fascia. The advantages of this technique include early rehabilitation and an early return to work. No significant difference in the clinical results compared to other methods were observed and there were no complications. The military training program appeared to have aggravated the patient's symptoms of tibialis anterior muscle herniation. On the other hand, larger scale study will be needed to determine if this program actually affects the clinical outcomes.

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Anterior Tibial Muscle Hernia Treated with Local Periosteal Rotational Flap: A Case Report: Jun Ku Lee, Hyung Ku Yoon, Dong Eun Shin, Jae hwa Kim, Dong Hoon Lee; J Korean Fract Soc 2012;25(4):331-334. Published online October 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.4.331

Tibialis anterior muscle hernia is the most common hernia among lower extremity muscles. This condition can be diagnosed by physical examination and radiologic findings, especially by dynamic ultrasonography. There are surgical methods of treatment for muscle hernia, including direct repair, fasciotomy, fascial patch grafting using autologous fascia lata or synthetic mesh. We report a case of tibialis anterior muscle hernia treated with local periosteal rotational flap. Because there are several advantages to the local periosteal rotational flap, such as lack of donor site morbidity, lack of skin irritation, low cost, simplicity, and an easy approach, this technique could be an option for tibialis anterior muscle hernia.

Citations

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Muscle hernias of the leg: A case report and comprehensive review of the literature
Jesse T Nguyen, Jenny L Nguyen, Michael J Wheatley, Tuan A Nguyen
Canadian Journal of Plastic Surgery.2013; 21(4): 243. CrossRef

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