The Teaching Point

Muscle herniation is defined as a portion of muscle through acquired or congenital fascial layer defect, that can cause potentially neuropathic symptoms due to nerve compression and MRI exams can demonstrate this correlation. Most symptomatic muscle hernias are successfully treated with conservative therapy. Surgical referral is warranted for patients with moderate to severe symptoms that are not amenable to a conservative therapy. Fasciotomy appears to be the preferred method by most surgeons, having the least complications and the most successful outcomes postoperatively.






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From the manuscript

Superficial peroneal nerve compression due to peroneus brevis muscle herniation

Free full text article: Superficial peroneal nerve compression due to peroneus brevis muscle herniation

Abstract
Muscle hernias of the extremities most commonly occur in the leg, between the knee and ankle. Symptomatic muscle hernias in the leg are rare cause of chronic leg pain and neuropathy, and not routinely encountered in surgical practice. Although this condition is especially an esthetic problem, with palpable subcutaneous soft tissue mass, it can lead to spontaneous pain, cramp, local tenderness or potentially neuropathic symptoms. Moreover, among leg muscles involved in this process, peroneus brevis is less frequent than tibialis anterior. Magnetic Resonance Imaging is the method of choice in establishing the diagnosis. Symptomatic cases can be treated surgically in different ways, the preferred one is nerve releasing with fasciotomy. The purpose of this case report is to present the Magnetic Resonance findings of a superficial nerve compression due to a peroneus brevis muscle herniation.






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1. Peripheral Neuropathy

2. Muscle Hernia

3. Magnetic Resonance Imaging

4. Fasciotomy

5. Nerve Releasing


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