Accessory soleus muscle: a difficult diagnosis: a case report and a review of the literature

Mukish, Prikesht; Reybet-Degat, P.; Demangel, Alexandre; Trouilloud, P.; Baulot, Emmanuel

doi:10.1007/s00590-012-1019-7

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…A significant increase in intensity and exercise workload, in some cases, may lead to pain and disability. These findings are also in agreement with the literature [170].…”

Section: Discussionsupporting

confidence: 94%

“…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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“…A significant increase in intensity and exercise workload, in some cases, may lead to pain and disability. These findings are also in agreement with the literature [170].…”

Section: Discussionsupporting

confidence: 94%

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

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“…As it may mimic a soft tissue tumor, it is essential to differentiate this condition from ganglion, lipoma, hemangioma, synovioma, and sarcoma [ 5 ]. ASM may also present with a painful syndrome, characterized by pain and paresthesia of the ankle and foot, mimicking the tarsal tunnel syndrome (TTS) [ 6 ]. Here, we report on two symptomatic cases of ASM, one with a typical presentation and treatment protocol and one with an atypical presentation, which led to delayed diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Accessory Soleus Muscle: Two Case Reports with a Completely Different Presentation Caused by the Same Entity

Plečko

Knežević

Dimnjaković

et al. 2020

Case Reports in Orthopedics

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Accessory soleus muscle (ASM) is a rare supernumerary anatomical variant that commonly presents as a posteromedial ankle swelling, which may become painful during physical activity. As it may mimic a soft tissue tumor, it is essential to differentiate this condition from ganglion, lipoma, hemangioma, synovioma, and sarcoma. However, ASM may also present with a painful syndrome, characterized by pain and paresthesia of the ankle and foot, mimicking the tarsal tunnel syndrome (TTS). Two cases of ASM are presented in this article. The first case had a typical presentation with painful posteromedial ankle swelling. After the initial assessment, the diagnosis was confirmed by magnetic resonance imaging (MRI), and ASM was treated by complete resection. The second case presented with pain and paresthesia in the right ankle and foot, but no swelling was noticeable. It was initially misdiagnosed by a rheumatologist and afterward overlooked on an MRI by a musculoskeletal radiology specialist and therefore mistreated by numerous physicians before being referred to our outpatient clinic. After further assessment, the diagnosis has been confirmed, and ASM was treated by complete resection combined with tarsal tunnel decompression. To the best of our knowledge, this is the first case reported in which ASM caused symptoms but presented without posteromedial swelling. This might be due to a proximally positioned belly of the ASM, followed by a tendinous insertion on the medial side of the calcaneus.

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Minimally Invasive Tendon Release for Symptomatic Accessory Soleus Muscle in an Athlete: A Case Report

Randell

Marsland

Jenkins

et al. 2019

The Journal of Foot and Ankle Surgery

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Accessory soleus muscle: a difficult diagnosis: a case report and a review of the literature

Cited by 4 publications

References 10 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

Accessory Soleus Muscle: Two Case Reports with a Completely Different Presentation Caused by the Same Entity

Minimally Invasive Tendon Release for Symptomatic Accessory Soleus Muscle in an Athlete: A Case Report

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