From the Anatomy Lab to Clinical Practice: A Proposed Clinical Decision Making Flowchart for Symptomatic Accessory Soleus Muscle

• 발행기관: 물리치료재활과학회
• 저자명: Craig Day Mike Deleon Brad Martin Criss Carlson Zoe Allis Edith Hollingsworth Kiyomi Okano-Foell Kaylee Robles Mark Woinarowicz Eric Johnson
• 간행물 정보: 『Physical Therapy Rehabilitation Science』제13권 제4호, 390~396쪽, 전체 7쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2024.12.01

국문 초록

Background: Accessory soleus muscle (ASM) is an anatomical variation in the lower leg that is found in approximately 10% of individuals. ASM can be asymptomatic or symptomatic and can be disruptive during physical activities or exercise. Objective: The purposes of this paper were to describe an ASM cadaver specimen, review the literature regarding ASM, identify potential clinical implications in patient management, and develop a clinical decision making flowchart. Methods: A cadaver specimen with ASM was identified during a graduate level dissection-based anatomy course. The origin and insertion were identified by faculty members and anatomists. This finding prompted a review of the literature to determine the prevalence of ASM and clinical presentation from prior documented cases. Results: The authors of this article agree that ASM should be added as a differential diagnosis for posteromedial ankle pain and the other earlier discussed symptoms since ASM signs and symptoms can often resemble other diagnoses, leading to unresolved symptoms. A clinical decision making flowchart for ASM has been developed. Conclusion: The authors suggest that further research is necessary to explore alternative treatment methods for ASM, including physical therapy. Though surgical intervention has been successful in treating the ASM in previous cases, the clinical implications of a non-surgical treatment method may result in less risk to the patient, decrease the financial strain of prolonged disability, and serve as the only possible intervention in cases where surgery is not feasible.

목차

Introduction

Methods

Literature Review

Discussion

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References

키워드

Accessory soleus muscle Accessory soleus Anatomical anomaly