scholarly journals Hypertrophy of the tensor fascia lata: A pseudotumor due to lumbar radiculopathy

2021 ◽  
Vol 12 ◽  
pp. 522
Author(s):  
Lisa B.E. Shields ◽  
Vasudeva Iyer ◽  
Rukmaiah C. Bhupalam ◽  
Yi Ping Zhang ◽  
Christopher B. Shields
Keyword(s):  
Symptomatic Relief ◽  
Alpha Angle ◽  
Fascia Lata ◽  
Lumbar Radiculopathy ◽  
Tensor Fascia Lata ◽  
Presumptive Diagnosis ◽  
Tissue Mass ◽  
Pelvic Mri ◽  
Proximal Thigh ◽  
Anterolateral Aspect

Background: Pseudotumor of the tensor fascia lata (TFL) consists of a rare, benign soft tissue mass/hypertrophy of the TFL that appears on the anterolateral aspect of the proximal thigh. Notably, this condition often mimics a malignant tumor and may be misdiagnosed as a sarcoma. Case Description: A 45-year-old male presented with left hip/groin pain, swelling, and a painful mass on the anterolateral aspect of the left hip/thigh. The symptoms had started 3 months ago following an L1-S1 lumbar laminectomy/fusion. The initial diagnosis was hip disease, and the patient underwent a left MR arthrogram. When this study demonstrated a tear of the left anterosuperior acetabular labrum plus an increased alpha angle causing femoroacetabular impingement, the patient then underwent a left hip arthroscopy. However, as he continued to complain of the hip mass, he was referred to an orthopedic oncologist whose presumptive diagnosis favored a sarcoma. Nevertheless, the pelvic MRI scan and ultrasound (US) confirmed the diagnosis of hypertrophy of the left TFL (US left 33.4 mm vs. right 14.4 mm). The patient was first treated with 50 units of locally injected botulinum. As there was no symptomatic relief, the plan was to repeat the injection within the next few months. Conclusion: Hypertrophy of TFL may mimic a neoplasm such as a sarcoma and contributes to what appears to be a lumbar radiculopathy. However, MR and US imaging should readily identify TFL and rule out malignant lesions such as sarcomas.

Transverse Tensor Fascia Lata Myocutaneous Flap for Microvascular Breast Reconstruction

2013 ◽  
Vol 70 (4) ◽  
pp. 438-441
Author(s):  
Kamakshi R. Zeidler ◽  
Ji H. Son ◽  
Joseph N. Carey ◽  
Andrew J. Watt ◽  
Oscar H. Ho ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Myocutaneous Flap ◽  
Fascia Lata ◽  
Tensor Fascia Lata

A review of the anatomy of the hip abductor muscles, gluteus medius, gluteus minimus, and tensor fascia lata

2011 ◽  
Vol 25 (6) ◽  
pp. 697-708 ◽  
Author(s):  
Natasha Amy May Sparks Flack ◽  
Helen D. Nicholson ◽  
Stephanie Jane Woodley
Keyword(s):  
Gluteus Medius ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Gluteus Minimus ◽  
Hip Abductor ◽  
Anatomy Of The Hip

Crouching carcinoma, hidden ureter: A blind ending burnt out cancerous moiety

2021 ◽  
pp. 205141582110564
Author(s):  
Benjamin Storey ◽  
Vaisnavi Thirugnanasundralingam ◽  
Avi Raman
Keyword(s):  
Urothelial Carcinoma ◽  
Bladder Tumour ◽  
Distal Portion ◽  
Upper Tract Urothelial Carcinoma ◽  
Level Of Evidence ◽  
Tissue Mass ◽  
Duplex Kidney ◽  
Pelvic Mri ◽  
Upper Tract ◽  
The Right

Background: A 76-year-old male presenting with macroscopic haematuria was found to have a lobulated mass infiltrating along the urothelium at the site of insertion of the upper moiety of a complete duplex right kidney. Suspected of being upper tract urothelial carcinoma, cystoscopy, bilateral retrograde pyelograms and transurethral resection of bladder tumour were attempted. Intra-operative findings revealed no tumour burden in the bladder or left ureter. The insertion of the upper pole moiety of the right ureter was not identified intra-operatively. Pelvic MRI demonstrated a markedly dilated upper pole moiety of the right ureter with a soft tissue mass in its distal aspect. Interestingly, the distal portion of the ectopic upper pole moiety was found to insert into the bladder neck. Objective and Methods: We report on an unusual case of upper tract urothelial carcinoma arising from the upper moiety of a complete duplex kidney. Our aim was to demonstrate the importance of thorough investigation of suspected urothelial carcinomas occurring in association with variant upper tract anatomy. Results and Conclusion: This case demonstrates the importance of thorough radiological and endourological investigation of suspected upper tract urothelial carcinoma and the various congenital abnormalities that may complicate the surgical management of this common malignancy. Level of evidence: 4 (case report)

scholarly journals Fascia lata attachment at the iliac crest: refining our diagnostic criteria of injury on magnetic resonance imaging

2020 ◽  
Vol 93 (1111) ◽  
pp. 20200187
Author(s):  
Ali Serhal ◽  
Bradley Adams ◽  
Imarn Omar ◽  
Swati Deshmukh
Keyword(s):  
Diagnostic Criteria ◽  
Iliac Crest ◽  
Fascia Lata ◽  
Hip Pain ◽  
Large Field ◽  
Low Grade ◽  
Total N ◽  
Anatomic Structure ◽  
Pelvic Mri ◽  
Asymptomatic Patients

Objective: The objective of this study was to determine the prevalence and spectrum of pathology of the fascia lata attachment at the iliac crest (FLAIC) on MRI in asymptomatic patients in order to refine our diagnostic criteria for clinically relevant FLAIC injury. Methods and material: Two readers retrospectively evaluated the FLAIC on each side on coronal large field-of-view short tau inversion recovery images on 100 musculoskeletal pelvic MRI exams performed in patients without hip pain (total n = 200). Pathology of the FLAIC was graded using a 3-point Likert scale and discrepancies were resolved by consensus. Results: Of the 200 FLAIC included in the study, 72.5% demonstrated normal size and signal intensity. Low to moderate grade pathology of the FLAIC was identified in 27% and high-grade partial thickness pathology was seen in 0.5%. No cases of complete FLAIC rupture were identified. Inter rater agreement between the two readers was good (k=0.660, p < 0.001). There was no statistical difference in FLAIC scores according to gender or age. FLAIC score was positively correlated with higher body mass index. Conclusion: Incidental low to moderate grade FLAIC pathology is commonly seen on MRI in asymptomatic patients. Abnormal MRI findings of the FLAIC should hence be correlated with explicit clinical symptoms and physical exam findings. Advances in knowledge: The Fascia lata is a complex anatomic structure. Its attachment to the iliac crest is an under recognized pathology and sometimes overlooked during evaluation for pelvis and lateral hip pain. Evaluation of the FLAIC is easily done with MRI and abnormality should be correlated to the clinical symptomatology as low grade abnormality is frequently seen in asymptomatic population.

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