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Vol. 50. Issue 186.
Pages 79-82 (April - June 2015)
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Vol. 50. Issue 186.
Pages 79-82 (April - June 2015)
Músculo sóleo accesorio de una deportista. A propósito de un caso y revisión de la bibliografía
Accessory soleus muscle in an athlete. Presentation of a case and a literature review
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Francisco J. Rubioa, Luis Francoa, Manuel J. Monterob, Paola Ugartea, Alfredo Valeroa
a Médico adjunto, Unitat Medicina de l’Esport, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España
b Médico adjunto Radiología, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España
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Abstract
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Según los estudios necrópsicos, la incidencia del músculo sóleo accesorio fluctúa entre el 0,5 y el 6,0% de la población. La presentación típica es una tumoración blanda del tercio distal posteromedial de la pierna que aumenta de tamaño con la actividad física, especialmente con la flexión plantar. Se acompaña de dolor con el ejercicio en el 67% de los casos publicados. El tratamiento de elección es conservador, pero cuando provoca un síndrome compartimental se debe realizar la fasciotomía y, en el caso de tener síntomas de claudicación o compresión nerviosa, se necesitará una escisión completa del músculo. Presentamos el caso clínico de una deportista que presenta un músculo sóleo accesorio sintomático que fue estudiado mediante radiología, ecografía y resonancia magnética nuclear (RMN).

Palabras clave:
Músculo sóleo accesorio; Variación anatómica; Resonancia magnética nuclear

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).

Keywords:
Accessory soleus muscle; Anatomical variation; Magnetic resonance imaging

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