title: Accessory soleus in the athletes: literature review and case report of a massive muscle in a soccer player.
abstract: 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.
authors.affiliation: Orthopaedics and Traumatology, University of Turin Medical School, Mauriziano Umberto I Hospital, Largo Turati 62, 10128 Turin, Italy. rossibonasia@alice.it
authors.forename: Roberto
authors.initials: R
authors.lastname: Rossi
authors.forename: Davide Edoardo
authors.initials: DE
authors.lastname: Bonasia
authors.forename: Alessia
authors.initials: A
authors.lastname: Tron
authors.forename: Andrea
authors.initials: A
authors.lastname: Ferro
authors.forename: Filippo
authors.initials: F
authors.lastname: Castoldi
mesh_terms: D000293:Adolescent; D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery; D018771:Arthralgia / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018482:Muscle, Skeletal / Q000002:abnormalities* / Q000601:surgery*; D012916:Soccer