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Case Reports
. 2019 Sep-Oct;10(5):879-883.
doi: 10.1016/j.jcot.2018.09.009. Epub 2018 Sep 20.

Bilateral non-traumatic lower leg fascial defects causing peroneal muscle herniation and novel use of a GraftJacket to repair the fascial defect

Kathryn Dyson  1 , Jeya Palan  1 , Jitendra Mangwani  1
Affiliations
Case Reports

Bilateral non-traumatic lower leg fascial defects causing peroneal muscle herniation and novel use of a GraftJacket to repair the fascial defect

Kathryn Dyson et al. J Clin Orthop Trauma. 2019 Sep-Oct.

Erratum in

Abstract

Constitutional bilateral defects in the peroneal fascial compartment leading to muscle herniation are extremely rare. We present the case of a twenty-nine year old male carpenter with non-traumatic bilateral peroneal fascial defects, in which the symptomatic right side was successfully repaired using a GraftJacket®. This case report highlights the need for clinicians to remain aware of the diagnosis of muscle herniation as a cause of a painful mass in the lower limbs, especially when related to exercise. The judicious use of further imaging such as ultrasound in combination with MRI can be useful in differentiating a muscle hernia from other more sinister causes, such as malignancy.

Keywords: Fascial defect; Muscle hernia; Non-traumatic; Peroneal fascial defect.

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Figures

Fig. 1
Fig. 1
Ultrasound scan showing hypoechoic area (yellow arrow, with area outlined using crosses 1 and 2).
Fig. 2
Fig. 2
Palpable gap in fascia.
Fig. 3
Fig. 3
Deep dissection of soft tissues.
Fig. 4
Fig. 4
Fascial defect measuring 2 × 3cm in size.
Fig. 5
Fig. 5
Superficial peroneal nerve identified and protected.
Fig. 6
Fig. 6
GraftJacket® repair of fascial defect.
See this image and copyright information in PMC

References

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