Tibialis anterior muscle hernia

Case contributed by Pavan Borra
Diagnosis certain

Presentation

Past history of injury with pain and swelling for 6 months.

Patient Data

Age: 45 years
Gender: Male

MRI

mri

Medial protrusion of tibialis anterior muscle noted through a fascial defect of about 18mm in the mid-leg, herniating across the anterior crest of the tibia. Fatty replacement of herniated muscle segment noted. 

CT scan showing tibialis anterior muscle hernia with fatty replacement.

Case Discussion

Muscle hernias are commonly found in lower extremities. Tibialis anterior muscle hernias are found most frequently due to the vulnerability of its fascia to trauma usually producing a focal bulge.

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