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Hernia, Education, Ultrasound, MR, Musculoskeletal system
M. Pascale, A. Muda, D. Orlandi, R. Sartoris, E. Silvestri, G. Garlaschi; Genoa/IT
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 symptomatic nodules occurred in the middle to lower third of the anterior compartment in both legs and progressive worsening of symptoms.
On clinical examination,
the nodules were soft,
subcutaneous and compressible.
These nodules were visible,
when she was in an upright position and with the legs flexed ,
and painful after some hours in this position.
These aspects have led us to suppose a muscle herniation,
in the lower leg,
is a relatively common clinical condition,
especially of the tibialis anterior muscle,
the most common described in literature.