PDF(Pubmed)
Abstract：
Unilateral hypertrophy of the Tensor Fasciae Latae (TFL) muscle is a rare condition often characterized by a palpable mass in the lower limbs or hip pain. Despite its rarity, several causative factors have been identified, necessitating accurate diagnosis and appropriate management. Here, we present the case of a 53-year-old patient who sought outpatient consultation for a mass in the anterolateral aspect of the right thigh. Through this case study, we aim to contribute to the limited literature on this condition by discussing our diagnostic approach, management plan, and outcomes. Upon presentation, the patient underwent a thorough physical examination, revealing a non-tender, sessile mass seemingly originating in the deep connective tissue of the thigh. A magnetic resonance image (MRI) was performed to confirm the diagnosis and assess the extent of muscle involvement. This noninvasive modality provided valuable insights into the nature and localization of the mass, providing the diagnosis and guiding subsequent management decisions. Given the benign nature of the condition and absence of associated symptoms, conservative management was favored. Physical therapy focusing on stretching and strengthening exercises was initiated to address the underlying probable causes and improve functional capacity. Close monitoring through regular follow-up appointments was also recommended to track the progression of the hypertrophy and ensure symptomatic relief. Unilateral hypertrophy of the TFL muscle is a rare entity that presents diagnostic and management challenges. Through our case study, we have highlighted the importance of a comprehensive diagnostic workup, including imaging studies, in confirming the diagnosis and guiding management decisions. Conservative approaches, such as physical therapy, can effectively manage symptoms and improve quality of life in affected individuals. Continued research and documentation of cases are essential to expand our understanding of this condition and refine treatment strategies.
摘要：
张量筋膜（TFL）肌肉的单侧肥大是一种罕见的疾病，通常以下肢明显的肿块或髋部疼痛为特征。尽管它很罕见,已经确定了几个致病因素，需要准确的诊断和适当的管理。这里,我们介绍了一例53岁的患者,该患者因右大腿前外侧肿块寻求门诊咨询.通过这个案例研究,我们的目标是通过讨论我们的诊断方法来为关于这种情况的有限文献做出贡献，管理计划,和结果。在介绍时，病人接受了彻底的体检,揭示了一个非招标，无柄肿块似乎起源于大腿的深层结缔组织。进行磁共振成像（MRI）以确认诊断并评估肌肉受累的程度。这种非侵入性的方式为肿块的性质和定位提供了有价值的见解，提供诊断并指导后续管理决策。鉴于病情的良性性质和没有相关症状，保守管理受到青睐。开始了以伸展和加强运动为重点的物理疗法，以解决潜在的可能原因并提高功能能力。还建议通过定期随访进行密切监测，以跟踪肥大的进展并确保症状缓解。TFL肌肉的单侧肥大是一种罕见的实体，存在诊断和管理挑战。通过我们的案例研究,我们强调了全面诊断检查的重要性，包括影像学研究,在确认诊断和指导管理决策方面。保守的方法，比如物理治疗，可以有效地管理症状并改善受影响个体的生活质量。继续研究和记录病例对于扩大我们对这种情况的理解和完善治疗策略至关重要。
