#21841
Stephen Bird
Keymaster

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.

Steve

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