KUMJ | VOL. 11 | NO. 4 | ISSUE 44 | OCT-DEC, 2013
An Interesting Case of Post Traumatic Tibialis Anterior Muscle Herniation
Hegde AS
Abstract: A muscle hernia is defined as a protrusion of the muscle belly through an acquired
or congenital fascial defect. Muscle herniation through fascia is a relatively rare
entity. Though predominantly asymptomatic, rarely they can be cause of vague
pain in the leg, aggravated by exercises. Various conservative measures have been
described for asymptomatic hernias, but treatment of symptomatic cases remains
controversial. Here we present a case of symptomatic post traumatic tibialis
anterior muscle herniation which was treated successfully with autologous fascia
lata graft in Yenepoya Medical College, Mangalore in the month of January 2013.
Muscle hernias should be kept in mind as a rare differential diagnosis whenever
patients present with persisting vague leg pain with or without swelling. If
conservative treatment fails, we recommend closure with autologous graft or
fasciotomy to relieve the symptoms.
Keyword : Fascia lata graft, hernia, tibialis anterior