Modified iliofemoral approach with osteotomy of the iliac crest, sparing the abdominal muscles, for the treatment of acetabular fracture.

Treatment of acetabular fracture is complex, requiring adapted and often extensive surgical approaches. We describe a modified iliofemoral approach, with the particularity of including iliac crest osteotomy sparing abdominal muscles to allow direct control of reduction while respecting the abdominal muscles, creating a workspace as close to the fracture as possible, without involving the inguinal canal or femoral vascular-neural bundle. In 15 complex fractures, the technique provided 13 excellent or good reductions and 13 excellent or good results according to the Matta criteria.

Accessory soleus muscle: a difficult diagnosis: a case report and a review of the literature.

In this article, we report the case of a patient with a symptomatic accessory soleus muscle with an atypical clinical presentation. As the existence of this accessory muscle went unrecognized for a long time, various diagnoses of the patient's condition were made. Initially, the patient was treated for muscle strain and compartment syndrome, but the second MRI revealed the accessory muscle and led to appropriate diagnosis and surgical treatment.