Anomalous Insertion of the Soleus Muscle as a Cause of Fixed Equinus Deformity

Bonnell, J.A.; Cruess, Richard L.

doi:10.2106/00004623-196951050-00019

Cited by 45 publications

(21 citation statements)

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“…While multiple theories have been proposed to explain the etiology of clubfoot [9,23,34], it is becoming increasingly clear that genetic factors play a major role [28,30]. A recent study points toward a polygenic threshold model for clubfoot inheritance where multiple genes and environmental factors will be found to play a role [42].…”

Section: Discussionmentioning

confidence: 99%

“…Many theories have been proposed to explain the etiology of idiopathic clubfoot including vascular deficiencies [34], environmental factors, in utero positioning [23], abnormal muscle insertions [9], and genetic factors [28,30]. While it is becoming more clear that clubfoot is multifactorial in origin, genetic factors clearly play a role as suggested by the 33% concordance of identical twins and the fact that nearly 25% of all cases are familial [44].…”

Section: Etiologymentioning

confidence: 99%

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Update on Clubfoot: Etiology and Treatment

Dobbs

Gurnett²

2009

Clinical Orthopaedics &Amp; Related Research

269

260

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Section: Discussionmentioning

confidence: 99%

Section: Etiologymentioning

confidence: 99%

Update on Clubfoot: Etiology and Treatment

Dobbs

Gurnett²

2009

Clinical Orthopaedics &Amp; Related Research

269

260

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“…It can also cause a compression neuropathy of the posterior tibial nerve or claudication due to involvement of the posterior tibial artery. 5,9,11 Although less frequent, the following associated conditions have been described: a rigid varus hindfoot with limited dorsiflexion, 12 tarsal tunnel syndrome secondary to compression of the tibial nerve 13 and Achilles tendinopathy. 14 In almost all cases in the lateral X-ray of the ankle, you can see the Kager triangle occupied by a soft tissue mass without associated bone abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…The image appears as a fusiform or oval, well-defined with its own fascia, and with a signal intensity similar to the normal muscle in both T1 and T2. This allows for a non invasive diagnosis of accessory soleus muscle 8,9,12 (Fig. 3).…”

Section: Discussionmentioning

confidence: 99%

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

Rubio

Franco

Montero

et al. 2015

Apunts. Medicina de l'Esport

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The incidence of an accessory soleus muscle, according to autopsy studies, ranged from 0.5 to 6.0% of the population.The typical presentation is a soft mass in the posteromedial distal third of the leg, which increases in size with physical activity, especially plantar flexion. It is accompanied by pain with exercise in 67% of reported cases.The treatment of choice is conservative, but when it causes compartment syndrome, fasciotomy should be performed. If a patient has symptoms of claudication or nerve compression, a complete excision of the muscle is required.We report the case of an athlete who had a symptomatic accessory soleus muscle, which was studied by standard X-ray, ultrasound and magnetic resonance imaging (MRI). © 2014 Consell Català de l'Esport. Generalitat de Catalunya. Published by Elsevier España, S.L.U. All rights reserved. PALABRAS CLAVEMúsculo soleo accesorio; Variación anatómica; Resonancia magnética nuclear Músculo soleo accesorio en una deportista. A propósito de un caso y revisión de la bibliografíaResumen El hallazgo del músculo soleo accesorio oscila entre un 0,5 y un 0,6% de la población según los estudios necrópsicos.La presentación típica es una tumoración blanda en el tercio distal posteromedial de la pierna, que aumenta de tamaño con la actividad física, sobre todo con la flexión plantar. Se acompaña de dolor con el ejercicio en el 67% de los casos publicados.

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“…along the tendon of Achilles, fleshy to the upper surface of the calcaneus, by a separate tendon to the upper surface of the calcaneus and fleshy to the medial surface of the calcaneus. 17 Bonnel and Cruess observed a forked tendon inserted on the medial and lateral aspects of the calcaneum 19 whereas Barberini et al, reported the tendon to be inserted on medial to the calcaneal tendon. 20 A cadaveric case reported by Sarabpreet Singh R. highlights a musculo-tendinous slip, originating from the inferolateral aspect of soleus, coursing on the lateral aspect of the tendoachilles and fusing distally with the achillis tendon.…”

Section: Disscussionmentioning

confidence: 99%

Study of Accessory Soleus – An Anatomical and Clinical Insight

Joshi¹,

Garude²,

Kale³

et al. 2014

jemds

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BACKGROUND: Accessory soleus muscle may give rise to symptoms such as pain with exertion, during running and jumping. The study of these types of variations with its frequencies is important in the planning of operative treatment. Recognition of an accessory soleus muscle is an issue that needs to be addressed for this reason, the present study was proposed. AIMS AND OBJECTIVES: Aim of the present study was to find out the presence of accessory soleus muscle and its frequency in cadaveric lower limbs and to note if there was any variation in its origin and insertion. MATERIAL AND METHODS.-All together 40 Lower limbs of 20 cadavers (16 males and 04 females) were dissected. Origin and insertion of soleus muscle was observed meticulously and presence of accessory soleus muscle was recorded and photographed. RESULT: Out of 20 cadavers two male cadavers (four lower limbs) that are 10% showed accessory soleus muscle bilateraly, with a rare and unique insertion. CONCLUSION: The present study highlights rare variation pertaining to the insertion of soleus muscle which should be kept in mind by the surgeons, orthopaedicians, radiologists and also by physiotherapists.

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Anomalous Insertion of the Soleus Muscle as a Cause of Fixed Equinus Deformity

Cited by 45 publications

References 0 publications

Update on Clubfoot: Etiology and Treatment

Update on Clubfoot: Etiology and Treatment

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

Study of Accessory Soleus – An Anatomical and Clinical Insight

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