An unusual cause of thigh pain after total hip arthroplasty

Higgs, J.E.D.; Chong, Alexander C.M.; Haertsch, Peter; Sekel, R.; Leicester, A.

doi:10.1016/s0883-5403(05)80128-7

Cited by 15 publications

(1 citation statement)

References 6 publications

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“…Surprisingly, references in literature for the specific localization of hernias of the vastus lateralis muscle through an injured fascia lata are even scarcer. Higgs et al 3 in 1995 reported a series of 6 patients (out of a series of 780 patients) who presented with a symptomatic fascia lata defect within the first 5 months following hip arthroplasty. The patients could perfectly localize a painful point that appeared during motion and were relieved by thigh stockings.…”

Section: Discussionmentioning

confidence: 99%

Polypropylene Mesh Repair of Traumatic Hernia of the Vastus Lateralis: Case Report and Review

Meredith

Calonge

2019

Plastic and Reconstructive Surgery - Global Open

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Summary:Myofascial herniations of the lower limb are a rare cause of chronic nerve compression and pain. They may have congenital or traumatic origin, and the tibialis anterior muscle is the most frequent localization. A few cases will require operative management. An unusual case of symptomatic, acquired hernia of the vastus lateralis muscle in a young male basketball player is reported. After drainage of a compressive hematoma, the patient developed chronic pain and myositis of the vastus lateralis by friction against the edge of tensor fascia lata muscle. Secondary surgical reconstruction involved a polypropylene mesh repair 4 years after the initial trauma. This procedure has been described in a very small number of patients after iatrogenic lesions in total hip arthroplasty and on anterolateral thigh perforator flap donor site. Instead of denial and stoicism, this simple intervention could be proposed to patients as a therapeutic option.

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Section: Discussionmentioning

confidence: 99%