Transfascial Muscular Hernias: Diagnosis by dynamic ultrasonography

Abstract

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Dynamic ultrasound examination: a useful tool for the diagnosis of multiple muscular hernias

“…The tibialis anterioris is the most affected muscle, due to its superficial and tight fascial compartment. Muscular hernias typically present as soft nodules on the legs that appear or enlarge while standing or exercising [1]. They are usually asymptomatic, but sometimes cause pain or cramping, especially in athletes [2,3].…”

“…Applying low pressure with the transducer is crucial so that the hernia is not effaced [3]. In Doppler mode, vessels penetrating the fascia at the site of the defect may be seen [1]. Asymptomatic patients do not require treatment and patients with mild symptoms may be encouraged to use compression stockings.…”