The purpose of our educational exhibit is to highlight the occurrence of fat herniation and its radiological presentation.
Hernia intermuscular adipose tissue of the lower extremities is a rare condition that occurs through weak points of fascia cruris ( a fascia of the leg that forms a complete investment to the muscles) crossed by perforating vessels that cause fascial defect,
most between tibialis anterior and extensor muscles,
simulating muscle herniation.
We present a case of a 15-years old woman presented to our observation with a history of pain and weakness of the legs.
She was referred to our department because of onset of...
Findings and procedure details
Our young patient was underwent to a dynamic ultrasonographic study,
performing an axial and longitudinal scan of the mass with a 18 MHz linear transducer (MyLab TWICE,
with the patient in upright position and tibialis anterior muscle tension,
that showed small hypoechoic formations through fascia cruris defect crossed by perforating vessels (fig.
to report to small hernias intermuscular adipose tissue,
condition that occurred when some position of the leg increase the pressure inside.
she performed a MRI...
The diagnosis of fat herniation should be considered in patients with positionally variable subcutaneous nodules,
especially in the lower extremities,
a rare condition occurred through weak points of fascia cruris crossed by perforating vessels that cause fascial defect.
Ultrasonographic examination is useful for detecting the fascial defect; in addition to offering high-resolution imaging,
ultrasound also provides the capability of real-time dynamic assessment of soft-tissue structures excluding other conditions caused by soft tissue tumours such as lipomas,
fibromas and the relatively common condition of muscle...
 Troy Henning P,
Use of Postexercise Ultrasonography to Identify a Symptomatic Extensor Digitorum Longus Muscle
Hernia Associated with Running; American Academy of Physical Medicine and Rehabilitation
 Jarrett D,
Kramer DE, Callahan MJ,
US diagnosis of pediatric muscle hernias
of the lower extremities.
Pediatr Radiol (2013) 43 (Suppl 1):S2–S7
 Ali Murat Ceyhan,Wenchieh Chen,Mahmut Yener et al.
Bilateral tibialis anterior muscle herniation simulating a
soft tissue tumour in a young amateur football...