Clinical experience of musculoskeletal ultrasound-guided treatment of painful fascial fat hernia in the lumbar sacral region
ZHANG Yixiang
ZHANG Jingqi
JIANG Bensong
YANG Wenlong
LI Guoqiang
YU Hui
YIN Cong
LIU Lei
Abstract：Objective To evaluate the efficacy of musculoskeletal ultrasound(MSK-US)-guided surgical treatment for pain-ful lumbosacral fascial lipomas(fat hernias).Methods A total of 28 patients with painful lumbosacral fascial lipomas were en-rolled.The location of the lesion was identified using MSK-US.Under local anesthesia,a small incision was made,and the herni-ated fat tissue was dissected and excised under ultrasound guidance.Visual Analog Scale(VAS)and Oswestry Disability Index(ODI)were used to assess pain and functional impairment before surgery and 3 days postoperatively.Clinical outcomes were evaluated 1 month after surgery.Results MSK-US revealed discontinuity in the echogenic line of the fascial layer,with fat tis-sue herniating through the fascial defect.Combined with clinical symptoms,MSK-US effectively located the herniated lipoma.Through a small incision,the herniated tissue was completely excised at its base under continuous ultrasound monitoring.Postop-erative symptoms were relieved.VAS and ODI scores significantly decreased compared to preoperative values(all P<0.05).At the 1-month follow-up,23 patients were cured,5 patients were improved,resulting in a cure rate of 82.14%(23/28).Conclu-sion MSK-US-guided treatment for painful lumbosacral fascial lipomas offers the advantages of real-time,dynamic,and visual-ized imaging,allowing for precise localization of the lesion.This approach enables effective symptom relief with minimal inci-sion,highlighting its value in the surgical management of this condition.
Keywords：Fat herniaLow back painUltrasound examination
Publication Date：2025-12-30
Online Publishing Date：2026-02-04(First online date of this platform, not the publication date of the document)
Pages：4( 123-126 )