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        "resumen" => "<p class="elsevierStylePara"> Segons els estudis necr&#242;psics&#44; la incid&#232;ncia del m&#250;scul soli accessori fluctua entre el 0&#44;5 i el 6&#44;0&#37; de la poblaci&#243;&#46; La presentaci&#243; t&#237;pica &#233;s una tumoraci&#243; tova al ter&#231; distal posteromedial de la cama&#44; que augmenta de grand&#224;ria amb l&#8217;activitat f&#237;sica&#44; especialment amb la flexi&#243; plantar&#46; S&#8217;acompanya de dolor amb l&#8217;exercici en el 67&#37; dels casos reportats&#46; El tractament d&#8217;elecci&#243; &#233;s conservador&#44; per&#242; quan causa la s&#237;ndrome compartimental&#44; s&#8217;ha de fer una fasciotomia&#46; Si un pacient t&#233; s&#237;mptomes de claudicaci&#243; o compressi&#243; del nervi&#44; cal l&#8217;extirpaci&#243; completa del m&#250;scul&#46; Presentem el cas cl&#237;nic d&#8217;una esportista que presenta un m&#250;scul soli accessori simptom&#224;tic&#44; que fou estudiat mitjan&#231;ant radiologia&#44; ecografia i resson&#224;ncia magn&#232;tica nuclear &#40;RMN&#41;&#46;</p>"
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Journal Information
Vol. 50. Issue 186.
Pages 79-82 (May - July 2015)
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Vol. 50. Issue 186.
Pages 79-82 (May - July 2015)
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Múscul soli accessori d’una esportista. A propòsit d’un cas i revisió bibliogràfica
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 Metge adjunt, Unitat Medicina de l’Esport, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, Espanya
b Metge adjunt Radiologia, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, Espanya
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Segons els estudis necròpsics, la incidència del múscul soli accessori fluctua entre el 0,5 i el 6,0% de la població. La presentació típica és una tumoració tova al terç distal posteromedial de la cama, que augmenta de grandària amb l’activitat física, especialment amb la flexió plantar. S’acompanya de dolor amb l’exercici en el 67% dels casos reportats. El tractament d’elecció és conservador, però quan causa la síndrome compartimental, s’ha de fer una fasciotomia. Si un pacient té símptomes de claudicació o compressió del nervi, cal l’extirpació completa del múscul. Presentem el cas clínic d’una esportista que presenta un múscul soli accessori simptomàtic, que fou estudiat mitjançant radiologia, ecografia i ressonància magnètica nuclear (RMN).

Palabras clave:
Múscul soli accessori; Variació anatòmica; Ressonància magnètica 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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