ABSTRACT
Hypertrophy of the tensor fascia lata muscle is an uncommon clinical entity, which can simulate a soft tissue tumour. In most patients, it presents as a palpable proximal anterior thigh mass. The characteristic appearance on CT or MRI allows a confident diagnosis of muscle hypertrophy to be made, avoiding unnecessary diagnostic biopsy or surgical intervention. In cases with suspected radiculopathy, electromyography is also useful. We present an illustrative case of hypertrophy of the tensor fascia lata muscle and its outcome after rehabilitation treatment.
Subject(s)
Fascia Lata/diagnostic imaging , Hypertrophy/diagnostic imaging , Fascia Lata/pathology , Female , Humans , Hypertrophy/pathology , Hypertrophy/rehabilitation , Magnetic Resonance Imaging , Middle Aged , Soft Tissue Neoplasms/diagnosis , Thigh , Treatment OutcomeABSTRACT
La hipertrofia del músculo tensor de la fascia lata es una entidad clínica poco frecuente que puede simular un tumor de partes blandas. En la mayoría de los pacientes se presenta como una masa anterior palpable en la cara proximal del muslo. La imagen característica en la TC o la RMN es diagnóstica, evitando la realización de biopsia o intervenciones quirúrgicas. En los casos donde se sospeche radiculopatía también es de utilidad el electromiograma. Presentamos un caso clínico y su evolución con tratamiento rehabilitador
Hypertrophy of the tensor fascia lata muscle is an uncommon clinical entity, which can simulate a soft tissue tumour. In most patients, it presents as a palpable proximal anterior thigh mass. The characteristic appearance on CT or MRI allows a confident diagnosis of muscle hypertrophy to be made, avoiding unnecessary diagnostic biopsy or surgical intervention. In cases with suspected radiculopathy, electromyography is also useful. We present an illustrative case of hypertrophy of the tensor fascia lata muscle and its outcome after rehabilitation treatment
Subject(s)
Humans , Female , Middle Aged , Hypertrophy/diagnosis , Fascia Lata/physiopathology , Muscular Diseases/rehabilitation , Exercise Movement Techniques/methods , Diagnosis, Differential , Magnetic Resonance Spectroscopy/methods , Physical Therapy Modalities , Treatment OutcomeABSTRACT
El síndrome de Baxter consiste en una neuropatía por atrapamiento de la primera rama del nervio plantar lateral o calcáneo inferior que cursa con dolor, imposibilidad para la abducción del 5.° dedo y, en algunos casos, parestesias. Se presenta el caso de una paciente de 44 años diagnosticada de fascitis plantar, tratada quirúrgicamente con fasciectomía tras el fracaso del tratamiento conservador. Durante el postoperatorio presentó pérdida de la movilidad del 5.° dedo, parestesias difusas y dolor moderado con dificultad para la deambulación. Tras la realización de resonancia magnética y electromiograma es diagnosticada de síndrome de Baxter. Inició tratamiento de rehabilitación obteniendo mejoría de la alodinia a nivel de la cicatriz y adquirió marcha sin ayudas técnicas, con menor dificultad para puntillas y talones. Sin embargo mantuvo parestesias ocasionales y ausencia de movilidad del 5º dedo (AU)
Baxter syndrome is an entrapment neuropathy of the first branch of the lateral plantar nerve or inferior calcaneal nerve that causes pain, inability to abduct the fifth toe and, in some cases, paraesthesia. We report the case of a 44-year-old woman with a diagnosis of plantar fasciitis, treated surgically with fasciectomy after failure of conservative treatment. During the postoperative period, the patient showed loss of mobility of the fifth toe, moderate diffuse pain, numbness, and difficulty walking. After the performance of magnetic resonance imaging and electromyography, the patient was diagnosed with Baxter syndrome. She began rehabilitation, which improved allodynia of the scar and allowed her to walk without technical aids and with less difficulty in heel toe walking. However, there was persistence of occasional numbness and lack of mobility of the fifth toe (AU)
