Tennis leg (medial head of gastrocnemius)

Case contributed by Dr Walid Al-Deeb

Presentation

History of skiing accident two weeks ago. Heard a noise in the left calf region. Swelling has significantly improved since the accident.

Patient Data

Age: 55-60
Gender: Male
Ultrasound

Ultrasound demonstrates fluid deep to medial gastrocnemius and superficial to the soleus muscle, most prominent at the level of the myotendinous junction. Minor disruption in contour and echogenicity of muscle fibres.

Appearances are in keeping with minor partial tear to the left gastrocnemius at the myotendinous junction. Image of the normal right side was used for comparison.

Annotated image

Annotated image of the right calf.

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Case Discussion

It is important to always compare sides when evaluating the extremities on ultrasound, particularly when the patient's symptoms have nearly resolved. Comparins clearly shows the differences between the sides.

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Case information

rID: 52154
Case created: 23rd Mar 2017
Last edited: 4th Apr 2017
Inclusion in quiz mode: Included

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