High association between accessory soleus muscle and Achilles tendonopathy.

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文献标题：: High association between accessory soleus muscle and Achilles tendonopathy.

文献摘要：: OBJECTIVE: This study investigated the association between accessory soleus muscle and abnormalities of the Achilles tendon. MATERIALS AND METHODS: The authors reviewed 15 consecutive cases with a diagnosis of accessory soleus muscle from a computerized database of ankle magnetic resonance (MR) examinations reported between January 1998 and January 2007. On review, two cases were eliminated because of an incorrect initial diagnosis: One patient had a low lying soleus attachment to the Achilles tendon, while the other had a prominent flexor hallucis longus tendon partially obliterating Kager's fat. The remaining 13 cases with accessory soleus muscles were evaluated for Achilles tendon abnormalities. RESULTS: There were 13 cases of accessory soleus muscles in 11 patients; two patients had bilateral accessory soleus muscles (the only study patients with bilateral MR examinations in our sample). There were five male and six female patients ranging from 15 to 81 years of age (mean 48). There were nine cases (69.2%) in which Achilles tendonopathy was associated with accessory soleus muscle, including tendonopathy of each Achilles tendon in the two patients with bilateral accessory muscles. CONCLUSION: In our small patient population, there was a high association between accessory soleus muscle and Achilles tendonopathy.

参考中文摘要：: 目的：本研究调查之间的关联配件比目鱼肌和异常的跟腱。材料与方法：作者回顾15例诊断为配件比目鱼肌从一个计算机化的数据库，踝关节磁共振（先生）考试1998年1月之间的报告和2007年1月。经审查，两起案件被淘汰，因为不正确的初步诊断： 1例患者进行了低洼比目鱼附件跟腱，而其他有突出的屈拇长肌腱部分擦掉Kager的脂肪。其余13例配件比目鱼肌评价跟腱异常。结果：有13例配件比目鱼肌11例， 2例了双边配件比目鱼肌（唯一的研究双边患者议员考试我们的范例）。有五名男性和六名女性病人从15至81岁（平均48 ）。有9例（ 69.2 ％），其中跟腱tendonopathy是与配件比目鱼肌，包括tendonopathy每个跟腱两个患者双边配件肌肉。结论：在我们小的患者群，有一个高关联配件比目鱼肌和跟腱tendonopathy 。

作者单位：: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA, 19104, USA.