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J Hand Microsurg 2009; 01(01): 54-59
DOI: 10.1007/s12593-009-0004-9
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Treatment of a symptomatic forearm muscle herniation with a wrap-around fascia lata graft

Kamarul A. Khalid
1   Department of Orthopedics and Trauma, The Queen Elizabeth Hospital, Adelaide, Australia
,
Edward T. Mah
1   Department of Orthopedics and Trauma, The Queen Elizabeth Hospital, Adelaide, Australia
2   Calvary Orthopaedic & Hand Care Centre, North Adelaide, 53 Gover Street, Australia   Email: tedmah@hotmail.com
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Publication History

02 February 2009

05 March 2009

Publication Date:
02 September 2016 (online)

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Abstract

Muscle herniation in the extremity is a well-recognized cause of symptomatic pain on exertion. Only 17 cases involving the upper limb has been previously described, 11 of them involving the anterior compartment of the forearm and only 2 were caused by strenuous exertion. Treatment for this condition ranged from nonsurgical, primary closure with palmaris longus interweave, formal fasciotomy, to closure with a tensor fascia lata graft.

This is a study of a 28-year-old man who had a symptomatic swelling on the volar aspect of his left forearm while working on a car-door assembly line that resulted in a significant decreased of his grip strength, work capacity and median nerve symptoms. It did not improve after 6 months of conservative management including hand therapy and splintage. The patient subsequently underwent a tensor fascia lata graft wrap-around. Postoperatively his symptoms resolved with improvement in his grip strength and hand function. The rationale for the treatment option chosen is discussed.

Keywords

Muscle hernia - Ocoele - Forearm - Fascia lata graft
 

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