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Symptomatic accessory soleus muscle:A cause for exertional compartment syndrome in a young soldier:A case report

World Journal of Clinical Cases 2022年第35期10卷 13022-13027页

作者： Inha Woo Chul Hyun Park Hongfei Yan Jeong Jin Park Department of Orthopaedic Surgery Yeungnam University HospitalDaegu 42492South Korea Department of Orthopaedics Yeungnam University HospitalDaegu 42415South Korea

BACKGROUND accessory soleus muscle(ASM)is a rare congenital variation that is almost asymptomatic,but several papers have recently described symptomatic *** clinical features of this condition are similar to tarsal tunnel syndrome(TTS)and include pain and numbness around the medial side of the *** commonly originates from the fibula or soleus muscle and inserts into the Achilles tendon or ***,it is identified as posteromedial swelling and definitely diagnosed by magnetic resonance *** most cases,treatment is observation,but surgical excision can be considered if symptoms are *** SUMMARY A 23-year-old male Korean soldier presented with complaints of bilateral foot and ankle pain and a swelling medial to the Achilles tendon that was more pronounced on the right *** first occurred after playing soccer 10 mo before this presentation,worsened after physical exertion,and were relieved by *** had no medical history,and no one in his family had the *** results were *** tests were performed to exclude common diseases such as tumors or ***,MRI revealed a bulky accessory soleus muscle in both feet,though the patient complained of more severe pain on the right side during physical ***,surgical resection was *** surgery,a large accessory soleus muscle was noted anterior to the Achilles tendon with distinctive insertion from a normal soleus *** 12 mo after surgery,there was no pain,numbness,or swelling of the right foot or ankle,no evidence of recurrence,and the patient could do all sports *** accessory soleus muscle should be added to the list of differential diagnosis if a patient has pain,sole numbness or swelling of the posteromedial ankle.

关键词： accessory soleus muscle Posteromedial ankle pain Exertional compartment syndrome Tarsal tunnel syndrome Sole numbness Case report

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