Gastrocnemius Tear

Gastrocnemius Tear

Clinical information

A 53 year old male seen direct access for physical therapy after an acute trauma to his left lower leg when running. No x rays or imaging was performed and patient noted swelling and difficulty with gait and activities of daily living. No bruising was present on the affected lower extremity.

Brief description

Ultrasound images were obtained and and ankle effusion was seen as well as a muscle tear in the medial head of gastrocnemius. No apparent defect in the Achilles tendon was noted. Strain of ATFL noted hypoechoic swelling and loss of fibrillar pattern of the ligament noted. Cortical irregularity of the lateral fibula was noted and the patient was referred for subsequent x rays which were normal.

Ultrasound Images & Clips

ATFL Ligament
ATFL Ligament
SAX Achilles Tendon
SAX Achilles Tendon
LAX Calf Muscle
LAX Calf Muscle
SAX Calf Muscle
SAX Calf Muscle
Talocrural Joint
Talocrural Joint
SAX Lateral Malleolus
SAX Lateral Malleolus
LAX Achilles Tendon
LAX Achilles Tendon

Conclusion

With this scan we see a partial thickness gastrocnemius tear, a talocrural joint effusion, as well as a strain of the fibers of the ATFL ligament. The Achilles tendon is intact and shows  normal size and echotexture.

Details

  • Sex: Male
  • Age: 53
  • Body part: Left Calf and Ankle