Accessory Soleus Muscle: Two Case Reports with a Completely Different Presentation Caused by the Same Entity

Figure 4

Intraoperative images of the patient presented in the second case. (a) Incision was made just medial to the Achilles tendon proximally and extended down to the proximal border of the tarsal tunnel. Accessory soleus muscle (ASM) is visible right below the skin and subcutaneous tissue. (b) ASM is elevated by a surgical pincer. Shrinkage of the muscle can be visualized towards its insertion. (c) ASM was bluntly dissected and separated from the surrounding structures. (d) The completely resected muscle that is approximately 8.5 cm long. A tendinous distal part is marked by a surgical pincer. (e) Neurovascular bundle of the posteromedial part of the ankle is visualized after resection of ASM and the flexor retinaculum. Neurovascular bundle is pointed by a white arrow.

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