Medial Gastrocnemius Tear
 

Author: Michael Downing, DO
Affiliation: Albany Medical Center PMR
Co Author(s): Dr. Michael Bazzi, D.O., UC-Irvine PMR Dr. David Civitarese, D.O., Northwestern PMR Dr. Joshua Rothenberg - D.O., Board Certified PMR and Sports Medicine
Senior Editor: Raul Rosario-Concepcion, MD

Clinical Vignette: A 35-year-old male contractor presented to clinic with 5 of 10, non-radiating, right mid-calf pain after repeatedly kicking his work trailer. He has pain with weight-bearing, ankle plantar-flexion, and palpation of the medial head of the gastrocnemius and mid-belly of the soleus. Thompson test is negative.

Type of Probe Used: Sonosite 15-4MHz probe

View Video

Short axis view demonstrating medial gastrocnemius tear while translating the ultrasound probe from distal to proximal.
View Video

Long axis view demonstrating medial gastrocnemius tear. Note the site of the tear with associated hypoechoic effusion while scanning.


Figure 2 – Long Axis – Free Gastrocnemius Aponeurosis tear (straight arrows). Note the thickening (star) and possible damage to the Soleus perimysium fibers (curved arrow).


Long axis view of medial head of gastrocnemius and soleus muscle.


Short Axis – Demonstrating Free Gastrocnemius Aponeurosis (FGA) disruption (arrow). Also note the mild hematic effusion (star).

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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Phone: 913.327.1415


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