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Peer-reviewed veterinary case report

Muscle bulge in lower leg after injury fixed with mesh repair

By Meeran G et al.ยท2026ยทDepartment of OrthopedicsยทView original on Europe PMC โ†’

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Original publication title: Traumatic Tibialis Anterior Muscle Herniation with a Large Fascial Defect Managed by Prolene Mesh Repair: A Rare Case Report.

Plain-English summary

A 22-year-old man had a rare condition called tibialis anterior muscle herniation, which means that a part of his muscle was pushing through a tear in the tissue covering it. This happened a year after he suffered a blunt injury to his leg. When he was examined, doctors found a noticeable swelling on the front side of his right leg that got bigger when he stood up or used his muscles. During surgery, they discovered a large tear in the tissue, about 9 by 3 centimeters, and they repaired it using a special mesh called Prolene. Six months later, he was doing well with no pain or complications, showing that this type of repair can be a good option for similar injuries.

Abstract

<h4>Introduction</h4>Tibialis anterior muscle herniation is an uncommon condition caused by a defect in the deep fascia, most frequently following trauma.<h4>Case report</h4>We report a rare case of a 22-year-old male who presented with symptomatic tibialis anterior muscle herniation 1 year after blunt trauma. Clinical examination revealed a reducible swelling over the anterolateral aspect of the right leg, becoming prominent on standing and muscle contraction. Intraoperatively, a large fascial defect measuring approximately 9 ร— 3 cm was identified.<h4>Conclusion</h4>The defect was successfully managed using a Prolene mesh for tension-free repair. At the 6-month follow-up, the patient was asymptomatic with no recurrence or complications. This case highlights Prolene mesh repair as a reliable option for large traumatic fascial defects.

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Original publication on Europe PMC: https://europepmc.org/article/MED/41815666