Presentation
Progressive right calf swelling after a recent tennis match. The patient is on prophylactic warfarin therapy.
Patient Data
Age: 60 years
Gender: Male
From the case:
Tennis leg
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There is a myofascial injury with fluid and a hematoma, deep to the right medial gastrocnemius muscle and superficial to the right soleus muscle. A tendon strain of the medial gastrocnemius muscle is present.
From the case:
Tennis leg
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The myofascial tear and hematoma between the medial gastrocnemius and soleus muscles are demonstrated in these video clips.
Case Discussion
Findings are typical of a tennis leg with a sizable myofascial tear and hematoma in a patient on prophylactic warfarin therapy. A complete complementary duplex doppler study revealed normal and patent deep and superficial veins.
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