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Skeletal Radiology

, Volume 46, Issue 3, pp 373–378 | Cite as

Semimembranosus muscle herniation: a rare case with emphasis on muscle biomechanics

  • Lena Naffaa
  • Hicham Moukaddam
  • Mohammad SamimEmail author
  • Aaron Lemieux
  • Edward Smitaman
Case Report

Abstract

Muscle herniations are rare and most reported cases involve muscles of the lower leg. We use a case of muscle herniation involving the semimembranosus muscle, presenting as a painful mass in an adolescent male after an unspecified American football injury, to highlight a simple concept of muscle biomechanics as it pertains to muscle hernia(s): decreased traction upon muscle fibers can increase conspicuity of muscle herniation(s)—this allows a better understanding of the apt provocative maneuvers to employ, during dynamic ultrasound or magnetic resonance imaging, in order to maximize diagnostic yield and, thereby, limit patient morbidity related to any muscle herniation. Our patient subsequently underwent successful decompressive fasciotomy and has since returned to his normal daily activities.

Keywords

Semimembranosus muscle Muscle Herniation Attachment and contraction center(s) Magnetic resonance imaging Ultrasound 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

None.

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Copyright information

© ISS 2016

Authors and Affiliations

  • Lena Naffaa
    • 1
  • Hicham Moukaddam
    • 2
  • Mohammad Samim
    • 3
    Email author
  • Aaron Lemieux
    • 4
  • Edward Smitaman
    • 5
  1. 1.Department of Diagnostic RadiologyAmerican University of BeirutRiad El-SolhLebanon
  2. 2.Saint Rita Medical CenterLimaUSA
  3. 3.Department of Radiology, Hospital for Joint DiseaseNew York UniversityNew YorkUSA
  4. 4.San Diego School of MedicineUniversity of CaliforniaLa JollaUSA
  5. 5.Teleradiology & Education CenterUniversity of California, San DiegoSan DiegoUSA

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