Volume 19, Issue 4 (December - In Press 2021)                   Iranian Rehabilitation Journal 2021, 19(4): 0-0 | Back to browse issues page


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Minhaj T M, Mathew KV B. Missing the Bull’s eye - A case report of Tibialis Anterior Hernia. Iranian Rehabilitation Journal. 2021; 19 (4)
URL: http://irj.uswr.ac.ir/article-1-1362-en.html
1- Department of Sports Physiotherapy, Jamia Millia Islamia University, New Delhi, India.
2- Department of Physiotherapy, Composite Regional Centre for Skill Development Rehabilitation and Empowerment of Persons with Disabilities, Kozhikode, India.
Abstract:   (541 Views)
Shin pain is a broad term that is used to describe lower leg pain, and it is commonly seen in the athletic/sports population. Various conditions have been reported to produce leg pain and muscle herniation is one among these conditions. Muscle herniation is the protrusion of muscle through the defect in the overlying fascia. Such herniation is not uncommon, but is often an underdiagnosed condition in the lower extremity. It usually occurs in athletes, especially in the anterior compartment of the leg as a result of trauma or due to muscle hypertrophy secondary to strenuous exercise. Diagnosis of herniation depends on its clinical presentation as it appears as a palpable soft tissue bulge through a fascia defect and radiological findings are used to confirm the diagnosis. Conservative treatment should be considered as an initial approach and surgery can be performed in case of conservative treatment failure. Presenting a case of symptomatic anterior lower leg pain, which was initially diagnosed as a psychosomatic disorder by two orthopaedic physicians. Later physical examination by a physiotherapist and subsequent referral for ultrasonographical evaluation to a radiologist confirmed it as a Tibialis Anterior hernia. The patient underwent an eight week of conservative treatment under the supervision of a physiotherapist, and it produced a significant change in his pain and function. Tibialis Anterior hernia should be considered as a differential diagnosis in chronic leg pain with palpable soft tissue protrusion and conservative treatment can be opted as the primary approach.
     
Article type: Case Reports | Subject: Physiotherapy
Received: 2021/05/14 | Accepted: 2021/09/20 | Published: 2021/12/19

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