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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机译:附件比目鱼是一种罕见的先天性解剖变异,在生命的第二个/第三个十年中可能表现为劳累性踝关节疼痛和肿胀或无症状的后内侧肿块。此病的发生率在0.7%至5.5%之间。文献中已经描述了许多治疗选择,包括保守治疗,切除,筋膜切开术,释放和关闭血液供应。我们报告了一名18岁的男性半职业足球运动员的症状性大块比目鱼肌(17 x 5 x 4厘米)。切除比目鱼副肌。手术后三个月,患者回到了游戏中。文献综述指出,筋膜切开术或肌肉切除术都会在运动员中产生良好的效果。
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