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A case study: the accessory soleus
The Journal of Orthopaedic and Sports Physical Therapy
|January 1, 1983
Summary
An accessory soleus muscle caused Achilles tendon pain in a teenage girl. Surgical removal of the muscle resolved her symptoms, offering a potential solution for similar cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Accessory muscles can cause diagnostic challenges in musculoskeletal conditions.
- Achilles tendon pain is common in athletes, often attributed to overuse or structural abnormalities.
Purpose of the Study:
- To report a case of an accessory soleus muscle presenting as Achilles tendon pathology.
- To highlight the diagnostic and therapeutic implications of this rare anomaly.
Main Methods:
- Clinical presentation of a 16-year-old female with anteromedial Achilles swelling and activity-related pain.
- Diagnostic imaging (not specified) and subsequent surgical exploration.
- Excision of the identified accessory soleus muscle.
Main Results:
- Surgical findings confirmed the presence of an accessory soleus muscle.
- Complete resolution of pain and swelling post-excision.
- Return to normal activity without recurrence.
Conclusions:
- An accessory soleus muscle can mimic soft tissue tumors or other causes of Achilles pain.
- Surgical excision is an effective treatment for symptomatic accessory soleus muscle.
- Awareness of this anatomical variant is crucial for accurate diagnosis in pediatric and athletic populations.
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