Accessory soleus muscle in clubfoot deformity: a report in four feet

Gupta, Prabha Nini; Singla, Rajan Kumar; Gupta, Ravi; Jindal, Rohit; Bahadur, Raj

doi:10.1097/01.bpb.0000228385.09313.37

Cited by 9 publications

(8 citation statements)

References 13 publications

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“…Persistence of the deformity was attributed to an accessory soleus muscle [9]. Gupta and colleagues reported four cases with clubfoot deformity with persistent hind foot varus and equinus deformity even after adequate posteromedial release.…”

Section: Discussionmentioning

confidence: 99%

Flexor digitorum accessorius longus muscle in resistant clubfoot patients

Shaheen

Mursal

Rabih

et al. 2015

Journal of Pediatric Orthopaedics B

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Clubfoot, talipes equino varus (TEV), is a common congenital foot anomaly. Some cases are resistant to conservative treatment. Many causes of resistance have been reported, among these, the presence of anomalous muscles; however, the effect of the presence of anomalous muscles on the outcome of conservative management is not well studied. These aberrant muscles are discovered during the extensive surgical release as an abnormal finding. The aim of this work is to study the demographic characteristics of patients with resistant TEV that necessitated extensive soft tissue release at Sudan Clubfoot Clinic and to document the prevalence of flexor digitorum accessorius longus (FDAL) muscle in a large series of clubfoot patients treated by extensive surgery: posteromedial release. Also, we introduce a new observation as an indication by which the surgeon can predict the presence of FDAL. On the basis of an observation that there is a special posture of the big toe in extension in relation to other flexed toes associated with the presence of FDAL, records of patients of clubfoot treated by extensive surgery between 2007 and 2012 at the Sudan Clubfoot Project were reviewed. Demographic characteristics were studied. Only patients with idiopathic TEV were included. Resistant clubfeet necessitated extensive release in 261 patients, 197 males and 64 females. Their ages ranged between 1 day and 15 years at presentation. FDAL muscle was found in 48 patients (54 feet) out of 261 patients (411 feet, 13.14%). In 46 of the 48 patients (95.8%), the presence of the FDAL could be predicted by a sign. FDAL is prevalent in 13% of resistant TEV cases requiring extensive soft tissue release, and the surgeon can expect resistant clubfoot and predict the presence of the FDAL in over 95% before he operates by observing the Samir-Adam sign.

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Section: Discussionmentioning

confidence: 99%

Flexor digitorum accessorius longus muscle in resistant clubfoot patients

Shaheen

Mursal

Rabih

et al. 2015

Journal of Pediatric Orthopaedics B

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“…The mechanism by which CCF develops is unknown. Muscle fiber abnormalities classified as congenital fiber type disproportion and fiber size variation, which may predict recurrent limb deformities, are prevalent in idiopathic equinovarus (Gupta et al, 2007). Additional muscles were found in many CCF cases (Omeroğlu et al, 2004;Herceg et al, 2006;Rambani and Shahid, 2006;Windisch et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

HOXD13 may play a role in idiopathic congenital clubfoot by regulating the expression of <i>FHL1</i>

Wang¹,

Fu²,

Li‐Ling³

et al. 2008

Cytogenet Genome Res

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Idiopathic congenital clubfoot (CCF) is a type of congenital foot malformation, and previous studiesusing the extended transmission disequilibrium testing (ETDT) analysis have confirmed the HOXD13 gene as the susceptible gene of CCF. This study aimed to verify whether Hoxd13 directly regulates skeletal muscle LIM protein 1 (Fhl1) expression during limb development in rat embryo, which will serve as a basis for comprehending etiological research of idiopathic CCF. Immunofluorescence staining was utilized to detect Hoxd13 and Fhl1 expression in 12.5d rat embryo, while luciferase assay, electrophoretic mobility shift assay (EMSA), and chromatin immunoprecipitation (ChIP) assay were used to confirm the interaction between the two genes. Both Hoxd13 and Fhl1 were expressed in the interdigital tissues of E12.5 rat embryo. Luciferase assay and EMSA identified a novel promoter region of Fhl1 that directly interacts with Hoxd13. ChIP of the Hoxd13-Fhl1 promoter complex from the developing limb confirmed that endogenous Hoxd13 interacts with this region. Thus, Hoxd13 directly regulates Fhl1 expression in rat embryo. These findings suggest that HOXD13 may regulate the expression of FHL1 in the development of idiopathic CCF.

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“…Forty‐seven reports were identified in the literature [1–9, 11–18, 20–28, 30–37, 39–45, 48–53]. Twenty‐ six of them are case reports and 21 are small series (2–21 patients).…”

Section: Literature Reviewmentioning

confidence: 99%

Accessory soleus in the athletes: literature review and case report of a massive muscle in a soccer player

Rossi

Bonasia

Tron

et al. 2009

Knee Surg Sports Traumatol Arthrosc

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Accessory soleus is a rare congenital anatomical variant, which may manifest in the second/third decade of life as an exertional ankle pain and swelling or as an asymptomatic postero-medial mass. The incidence of this condition ranges from 0.7 to 5.5%. Many treatment options have been described in literature, including conservative treatment, excision, fasciotomy, release and closure of blood supply. We report a symptomatic massive accessory soleus (17 x 5 x 4 cm) in an 18-year-old male semi-professional soccer player. Excision of the accessory soleus was performed. The patient went back to the game 3 months after surgery. The literature review stated that either fasciotomy or excision of the muscle produce good results in the athletes.

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Accessory soleus muscle in clubfoot deformity: a report in four feet

Cited by 9 publications

References 13 publications

Flexor digitorum accessorius longus muscle in resistant clubfoot patients

Flexor digitorum accessorius longus muscle in resistant clubfoot patients

HOXD13 may play a role in idiopathic congenital clubfoot by regulating the expression of <i>FHL1</i>

Accessory soleus in the athletes: literature review and case report of a massive muscle in a soccer player

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