Surgical Repair of Abductor Hallucis Muscle Herniation: A Case Report

Nicklas, Bonnie J.; McEneaney, Patrick A.; Lichniak, James E.; Baron, Robert L.; Brownell, Benjamin A.

doi:10.1053/j.jfas.2010.06.020

Cited by 3 publications

(4 citation statements)

References 18 publications

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“…Misdiagnosis and undertreatment of ABHM is common. Any damage to the area can complicate the area with haemangioma, herniation, and or nerve impingement with myofascial triggers ( 12,13,14 ). In this case study we did not consider a nerve graft wrap which may be helpful in long term tarsal tunnel impingement relief.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of an abductor Hallucis muscle herniation with tarsal tunnel syndrome: A rare case report with a long term follow-up

Darji¹,

McEneaney

Dew³

2022

Foot & Ankle Surgery: Techniques, Reports & Cases

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Atramatic, painful herniation of the abductor hallucis muscle is rare. During the period of writing this case study, we found less than ten published articles on abductor hallucis muscle anatomy and only three case reports on the abnormalities within the abductor hallucis muscle. Familiarity with the condition is needed for early diagnosis, surgical intervention, and prevention of recurrence. It is also important to have an experienced musculoskeletal radiologist to identify this unique pathology. This is a unique case study of a young active female who presented with an abductor hallucis muscle herniation, tarsal tunnel syndrome, and ligamentous laxity. She suffered from foot pain and was misdiagnosed for multiple years. She began living with normal foot pain during her exercise activities. Her symptoms began to worsen with numbness and tingling. After failing modification of shoe gear, physical therapy, resting, and offloading, she was further worked up with imaging. This MRI was evaluated by a musculoskeletal radiologist. It was discovered that she has a large muscle belly, with a retinaculum injury, and impingement along the tarsal tunnel. She was successfully treated with a surgical repair of the herniation, application of synthetic dynamic matrix graft, and decompression of the tarsal tunnel at the porta pedis. She had a complete resolution of symptoms in 6 weeks and she was followed up for 3 years with no recurrence. The purpose of this case report is to add to the body of literature on treatment options for muscle herniation in foot and ankle surgery.

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Section: Discussionmentioning

confidence: 99%

Surgical repair of an abductor Hallucis muscle herniation with tarsal tunnel syndrome: A rare case report with a long term follow-up

Darji¹,

McEneaney

Dew³

2022

Foot & Ankle Surgery: Techniques, Reports & Cases

Self Cite

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“…The most common and also first described hernia in the lower extremity is that of the anterior tibialis muscle [5]. Other types of hernias include those of the gastrocnemius [2], peroneus longus [10], peroneus brevis [11], and abductor hallucis muscles [12]. Patients often present with either asymptomatic or symptomatic hernias [10,11,[13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Differential diagnoses for these hernias include lipomas, hematomas, muscle tears, varicosities, soft tissue tumors or ankle strain [5,12,13].…”

Section: Discussionmentioning

confidence: 99%

“…The second route is to open the fascia distally and proximally. The downside to this procedure is that it may cause a localized skin depression when the muscle contracts due to adhesion between the muscle and subcutaneous tissue [12,18,20,21]. Furthermore, evidence suggests that this may also cause a thinning of the underlying subcutaneous tissue near and at the site of the hernia [9].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Finding of Symptomatic Bilateral Lower Extremity Hernia

2014

Orthop Muscul Syst

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A muscle hernia of the lower extremity can occur when the overlying fascia has become weakened. Often it is diagnosed clinically as a soft bulge on active movement and can be confirmed by ultrasound or MRI. If conservative treatment is not effective, surgical fascial reinforcement is required for either cosmetic reasons or clinically symptomatic patients. We are presenting a case of symptomatic, bilateral lower extremity hernias.

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Biomechanics of the intrinsic muscles

Pierre-Jerome

2025

Myopathies and Tendinopathies of the Diabetic Foot

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Surgical Repair of Abductor Hallucis Muscle Herniation: A Case Report

Cited by 3 publications

References 18 publications

Surgical repair of an abductor Hallucis muscle herniation with tarsal tunnel syndrome: A rare case report with a long term follow-up

Surgical repair of an abductor Hallucis muscle herniation with tarsal tunnel syndrome: A rare case report with a long term follow-up

A Rare Finding of Symptomatic Bilateral Lower Extremity Hernia

Biomechanics of the intrinsic muscles

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