Plantaris tendon tear

Case contributed by Chris O'Donnell


Acute onset calf pain whilst playing tennis - "like being hit from behind"

Patient Data

Age: 60 years
Gender: Male

Focal, fusiform swelling and reduced echogenicity in the plantaris tendon medially corresponding to the site of the patient's pain.  Tendon above and below is normal on transverse scanning.  Note increased surrounding blood flow.

Case Discussion

This is the less common cause of acute onset severe calf pain in older persons performing sports (weekend warriors).  More commonly the musculo-tendinous junction of the medial gastrocnemius is responsible.  Treatment is the same i.e. expectant.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.