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[The accessory soleus muscle: 2 cases].

M Del Sol, C Junge, O Binvignat

    Revista Medica De Chile
    |June 1, 1989
    PubMed
    Summary
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    The rare accessory soleus muscle, found in the lower leg, can cause functional disorders and may be misdiagnosed. This study identified two cases during dissections in South America.

    Area of Science:

    • Anatomy
    • Orthopedics
    • South American Medical Literature

    Background:

    • The accessory soleus muscle is an anatomical variant with limited documentation, particularly in South American literature.
    • This muscle is located in the distal leg, between the tibia and the soleus muscle.
    • It can be mistaken for other soft tissue masses like hemangioma, lipoma, or sarcoma, and may lead to functional disorders such as varus or equino-varus deformities.

    Observation:

    • A dissection study involving 254 young adults of diverse ethnic backgrounds was conducted.
    • Only two instances of the accessory soleus muscle were identified.
    • Both identified accessory soleus muscles were found in male subjects.

    Findings:

    • One accessory soleus muscle originated from the soleus muscle and inserted on the superior aspect of the calcaneus, anterior to the calcaneal tendon.

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  • The second accessory soleus muscle originated from the anterior fascia of the soleus muscle and inserted on the medial aspect of the calcaneus.
  • The anatomical descriptions provide detailed insights into the variations of this rare muscle.

    • Implications:

    • The accessory soleus muscle, though rare, has clinical significance due to its potential to cause pain and functional disorders.
    • Accurate diagnosis is crucial to avoid misdiagnosis as neoplastic or other pathological conditions.
    • This study contributes to the limited South American literature on this anatomical variant, highlighting its presence and potential clinical relevance.