Stephen Bird

Hi Mike,

Videos can certainly be uploaded as long as they are less than 9Mb.

You can also private email it to me or DropBox it and I can compress it and upload it for you.

The tubular looking fluid area is certainly the short saphenous vein and you have a nice short axis image of it to prove it.
But there is still some peri-tendon fluid which I suspect is haematoma from the injury and this is adding to the distal calf oedema.
I am not surprised that there is some paradoxical movement of these tendon ends and I am a little surprised the Thompson test did not suggest a rupture.

I would suggest it is at least a high grade partial tear and an MRI might be worthwhile for staging and management.

Nice case Mike.


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