Refractory Lateral Leg Pain in a 25-Year-Old Competitive Runner: A Report of a Case of Fascial Herniation of the Peroneus Brevis With Complete Resolution After Surgical Decompression.
exercise-induced leg pain
lateral fascial herniation
lateral fasciotomy
leg mass
peroneus brevis herniation
peroneus brevis incarceration
running injury
tibial stress fracture
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
accepted:
02
07
2023
medline:
3
8
2023
pubmed:
3
8
2023
entrez:
3
8
2023
Statut:
epublish
Résumé
Fascial herniations of the leg occur when an intracompartmental leg muscle protrudes through weaknesses in the overlying fascial sheath. These fascial defects may be congenital or acquired from trauma involving penetrating injuries to the fascia. Increases in intracompartmental pressure, often resulting from muscular hypertrophy, can lead to muscular herniation through the weakened fascia. This may present as a leg mass which is often misdiagnosed as a hematoma, varicosity, or soft-tissue mass, leading to significant delays in treatment. We present a case of a peroneus brevis herniation in a 25-year-old male competitive runner with a history of a tibial stress fracture. This patient was referred to the senior author following three years of lateral leg pain worsened by activity. After confirmation of the herniation on MRI, the patient underwent a limited lateral compartment fasciotomy with complete resolution of symptoms at a six-month follow-up. This case demonstrates common pitfalls in the diagnosis of fascial herniations in refractory leg pain of runners. A comprehensive knowledge of this diagnosis and its risk factors can aid in the successful treatment of this patient cohort.
Identifiants
pubmed: 37533621
doi: 10.7759/cureus.41276
pmc: PMC10392280
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e41276Informations de copyright
Copyright © 2023, Wilson et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Curr Sports Med Rep. 2003 Oct;2(5):247-50
pubmed: 12959704
J Radiol Case Rep. 2019 Nov 30;13(11):10-17
pubmed: 32190181
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 May 02;2(3):73-84
pubmed: 29264244
Int J Sports Phys Ther. 2011 Jun;6(2):126-41
pubmed: 21713230
Clin Orthop Relat Res. 1975 Nov-Dec;(113):69-80
pubmed: 1192677
JBJS Case Connect. 2020 Jan-Mar;10(1):e0183
pubmed: 32224669
Pediatr Dermatol. 2019 Sep;36(5):664-667
pubmed: 31215058
Am Fam Physician. 2018 Apr 15;97(8):510-516
pubmed: 29671490
Sports Med. 2015 Aug;45(8):1143-61
pubmed: 25851584
Clin Orthop Relat Res. 1987 Jul;(220):217-27
pubmed: 3594993
J Am Med Assoc. 1951 Feb 24;145(8):548-9
pubmed: 14794482
Br J Sports Med. 2016 May;50(9):513-26
pubmed: 26884223
Phys Sportsmed. 2019 Feb;47(1):47-59
pubmed: 30345867
Am J Sports Med. 2005 Aug;33(8):1241-9
pubmed: 16061959
Can J Plast Surg. 2013 Winter;21(4):243-7
pubmed: 24497767
Br J Surg. 1949 Apr;36(144):405-8
pubmed: 18129359
Br J Dermatol. 1976 Sep;95(3):329-30
pubmed: 974020
J Bone Joint Surg Am. 1977 Apr;59(3):404-5
pubmed: 849953