Plantaris tendon tear

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 60 years
Gender: Male
Ultrasound

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.

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Case information

rID: 17199
Published: 30th Nov 2018
Last edited: 1st Dec 2018
Inclusion in quiz mode: Included

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