Accessory soleus muscle in an athlete. Presentation of a case and a literature review
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The incidence of an accessory soleus muscle, according to autopsy studies, ranged from 0.5 to 6.0% of the population.
The typical presentation is a soft mass in the posteromedial distal third of the leg, which increases in size with physical activity, especially plantar flexion. It is accompanied by pain with exercise in 67% of reported cases.
The treatment of choice is conservative, but when it causes compartment syndrome, fasciotomy should be performed. If a patient has symptoms of claudication or nerve compression, a complete excision of the muscle is required.
We report the case of an athlete who had a symptomatic accessory soleus muscle, which was studied by standard X-ray, ultrasound and magnetic resonance imaging (MRI).
The typical presentation is a soft mass in the posteromedial distal third of the leg, which increases in size with physical activity, especially plantar flexion. It is accompanied by pain with exercise in 67% of reported cases.
The treatment of choice is conservative, but when it causes compartment syndrome, fasciotomy should be performed. If a patient has symptoms of claudication or nerve compression, a complete excision of the muscle is required.
We report the case of an athlete who had a symptomatic accessory soleus muscle, which was studied by standard X-ray, ultrasound and magnetic resonance imaging (MRI).
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Rubio, Francisco J. et al. «Accessory soleus muscle in an athlete. Presentation of a case and a literature review». Apunts: Medicina de l’esport, vol.VOL 50, n.º 186, pp. 79-82, https://raco.cat/index.php/Apunts/article/view/293162.
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