Accessory soleus muscle in an athlete. Presentation of a case and a literature review

Rubio, Francisco J.; Franco, Lila Louise Moreira Martins; Montero, Manuel; Ugarte, P.; Valero, Alfredo

doi:10.1016/j.apunts.2015.01.004

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Imaging modalities were recommended to confirm the diagnosis. This was a similar diagnostic approach to the literature, with physical findings revealing an extra muscle or low‐lying muscle that can be clearly identified by imaging [102]. Accessory and low‐lying soleus muscles are present as normal anatomical variations in many asymptomatic subjects.…”

Section: Discussionmentioning

confidence: 74%

“…A summary of the types of manuscripts included in this review is shown in Table 3. Noncomparative studies including opinion pieces/narrative reviews accounted for 45.4% of the included manuscripts [4, 6, 33–84], case reports (22%) [7, 85–109], and case series studies (17%) [110–129]. Five percent of the included manuscripts were systematic reviews [5, 130–134].…”

Section: Resultsmentioning

confidence: 99%

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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

Bosnina,

Padhiar,

Miller

et al. 2023

Journal of Foot and Ankle Research

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BackgroundNumerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions.MethodsThree online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions.ResultsOne hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF,n = 31), popliteal artery entrapment syndrome (PAES,n = 22), superficial peroneal nerve entrapment syndrome (SPNES,n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS,n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2).ConclusionInitial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation.

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Section: Discussionmentioning

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

Bosnina,

Padhiar,

Miller

et al. 2023

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

show abstract

“…The accessory for having an accessory soleus muscle identified is 19 years [7]. It is plausible that around 10% of the population could possess an accessory soleus muscle [8]. Males are seen to have this anomaly more often than females.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Double Belly Soleus Muscle

Fakoya

Flint

González

et al. 2020

Open Access Maced J Med Sci

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The rare anatomical anomaly of a double belly soleus muscle has been associated with some clinical and non-clinical correlations in patients. With symptomatic patients, usually not presenting until 20–30 years old, pain is exacerbated by long walks, running, and standing for long periods of time. This presentation could mimic the properties of a soft tissue tumor, thus misleading physicians. The discovery of the double belly soleus muscle is noticed while in surgery, biopsy, computed tomography scan, or magnetic resonance imaging machine. We herewith present a rare case of double belly soleus on the left and right posterior lower leg region of a 58-year-old female cadaver. This article will help bring awareness to the signs and symptoms of this rare anatomical anomaly.

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From the Anatomy Lab to Clinical Practice: A Proposed Clinical Decision Making Flowchart for Symptomatic Accessory Soleus Muscle

Day,

Deleon,

Martin

et al. 2024

Phys Ther Rehabil Sci

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Accessory soleus muscle in an athlete. Presentation of a case and a literature review

Cited by 3 publications

References 18 publications

Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review

A Rare Case of Double Belly Soleus Muscle

From the Anatomy Lab to Clinical Practice: A Proposed Clinical Decision Making Flowchart for Symptomatic Accessory Soleus Muscle

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