Case – Gastroc aponeurosis thickening?

[Diane]

Hi Steve!

I had a female came in with focal pain mid posterior calf. The referral was haematoma/muscle tear/DVT

I have 2 cine loops, long and trans attached of the med gastrocs aponeurosis area. All there was, was some focal hypoechoic thickenings… no acute tear. Would this indicate some past injury or chronic tear?
I couldnt see any acute tears.

Would love to have your opinion,

Thanks!

• This topic was modified 1 year ago by Diane.

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[Stephen Bird]

Nice images,

This is consistent with a previous free gastrocnemius aponeurosis tear.

It represents some granulation / scar tissue.

Sometimes this granulation can be quite excessive, in this case it is quite neat.

This subject is covered in the medial calf / tennis leg material on the website as well as in ” a tale of two muscles”

Nice work,

Steve

[Julius Gachuche]

Hi Steve I have a similar case.
The clinical details were
“ Calf pain, repeated ‘bruising’ on exercise with tenderness, ? Acute on chronic gastroc tear”

The patient mentioned of a previous medial gastric tear

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[Stephen Bird]

Nice one, and great images,

I would bet that the planters tendon is NOT the problem here and what you have seen is a tear of the free gasdtrocnemius aponeurosis and it has started to scar up and heal, hence the vascularity.

In the short axis I think will identify a normal planters tendon just deep to the area you have imaged. (that is if they have a plantaris)

What I am fairly sure about is that it is not a primary plantaris injury.

Steve

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