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A Soldier with Chronic Lower Leg Pain Due to Muscle Herniation

Carius, Brandon M., MPAS, PA-C1; Kamerath, Joseph H., MD2

JBJS Journal of Orthopaedics for Physician Assistants: October-December 2018 - Volume 6 - Issue 4 - p e34
doi: 10.2106/JBJS.JOPA.18.00014
Case Studies

A 28-year-old soldier presented with chronic right-lower-leg pain that had persisted for the past 18 months. Following previous primary care and specialty referrals, he had been diagnosed with atraumatic compartment syndrome. Prior lower-extremity magnetic resonance imaging (MRI) had been evaluated as normal. Subsequent physical examination revealed an appreciable soft-tissue depression, which became elevated after brief exercise. Ultrasonography confirmed this to be a previously undiagnosed fascial defect of the anterolateral compartment with tibialis anterior muscle herniation.

1Brooke Army Medical Center, Fort Sam Houston, Texas

2Madigan Army Medical Center, Olympia, Washington

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated.
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