ArticleJournal of orthopaedic case reports2026
Tibialis Anterior Muscle Herniation Managed with Ovine Extracellular Matrix Patch: Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Introduction: Muscle herniation occurs when muscle protrudes through a defect in its deep fascia. The tibialis anterior is most frequently involved and symptomatic cases present with an activity-dependent bulge and pain. Dynamic ultrasonography (USG) confirms the diagnosis while magnetic resonance imaging can delineate the defect and exclude other differentials. Case Report: A 35-year-old male had exertional anterior shin pain with a reducible swelling over mid-tibialis anterior that accentuated on dorsiflexion. Dynamic USG confirmed a focal fascial defect with herniation. After failed conservative treatment, the defect was bridged using an inlay ovine extracellular matrix patch to avoid high-tension primary closure. Post-operative rehabilitation enabled return to full sport within weeks; he remained symptom-free at follow-up. Conclusion: For tibialis anterior herniation, tension-free patch reconstruction is a reasonable option to preserve function and reduce the risk of compartment syndrome associated with tight fascial approximation.
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