Tennis leg

Case contributed by Morouj Shaggah
Diagnosis probable

Presentation

Calf pain, mild leg swelling and overlying skin ecchymosis, one week after a sensation of something snapping within the calf while walking.

Patient Data

Age: 30 years
Gender: Female

leg

ultrasound

Intersecting fluid seen deep to medial gastrocnemius muscle and superficial to soleus muscle, near the level of the myotendinous junction.

Case Discussion

This patient presented with calf pain, mild leg swelling and overlying skin ecchymosis, one week after a sensation of something snapping within the calf while she was walking.

Ultrasound shows a small amount of anechoic fluid collection between the medial gastrocnemius muscle soleus muscle, near the level of the myotendinous junction.

Differential diagnosis includes hematoma and ruptured Baker's cyst; however, the clinical presentation and imaging features are suggestive of Tennis leg.

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