{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:15Z","timestamp":1787755575067,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>This report reviews 2 cases of chronic lower extremity pain after traumatic tibial shaft fractures treated with intramedullary nail fixation. After examination and radiographic evaluation, clinical suspicion and pressure manometry were used to identify fascial herniation and indicate patients for fasciotomy, which ultimately relieved pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Lower extremity fascial hernias typically present with nonspecific chronic pain. Ultrasonography and magnetic resonance imaging (MRI) can be used to confirm diagnosis. However, in patients with implanted hardware, MRI may be ineffective in detecting hernias because of artifact. Clinical suspicion and pressure manometry are effective ways of identifying patients with this etiology of chronic pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00183","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T07:39:44Z","timestamp":1583480384000},"page":"e0183-e0183","source":"Crossref","is-referenced-by-count":1,"title":["Fascial Hernia After Traumatic Tibial Shaft Fractures: A Cause of Chronic Leg Pain"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1056-2659","authenticated-orcid":false,"given":"Leah J.","family":"Gonzalez","sequence":"first","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4588-1062","authenticated-orcid":false,"given":"Joseph R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-7683","authenticated-orcid":false,"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/229255031302100408","article-title":"Muscle hernias of the leg: a case report and comprehensive review of the literature","volume":"21","author":"Nguyen","year":"2013","journal-title":"Can J Plast Surg."},{"key":"bib2-20230720","first-page":"97","article-title":"On muscular hernia of the leg","volume":"65","author":"Ihde","year":"1929","journal-title":"Acta Chir Scand"},{"key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"293","DOI":"10.12659\/PJR.900846","article-title":"Tibialis anterior muscle hernia: a case of chronic, dull pain and swelling in leg diagnosed by dynamic ultrasonography","volume":"82","author":"Sharma","year":"2017","journal-title":"Polish J Radiol."},{"issue":"8","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1007\/s002560050548","article-title":"Muscle hernias of the lower leg: MRI findings","volume":"28","author":"Mellado","year":"1999","journal-title":"Skeletal Radiol."},{"key":"bib5-20230720","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2015-212462","article-title":"Tibialis anterior muscle hernia: a rare differential of a soft tissue tumour","author":"Govindarajan","year":"2015","journal-title":"BMJ Case Rep."},{"issue":"2","key":"bib6-20230720","first-page":"79","article-title":"Tibialis anterior muscle hernia: a rationale for treatment","volume":"30","author":"Miniaci","year":"1987","journal-title":"Can J Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:48Z","timestamp":1787751888000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00183"}},"subtitle":["A Report of 2 Cases"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00183","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}