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Gastrocnemius Tear
Aka: Gastrocnemius Tear, Partial Gastrocnemius Disruption, Medial Gastrocnemius Rupture, Tennis Leg
- Epidemiology
- Occurs more commonly in athletes over 30 years old
- Predisposing factors
- Commonly seen in Tennis (Tennis Leg)
- Running on hill
- Forced push-off (jumping)
- Pathophysiology
- Proximal partial gastrocnemius-soleus muscle tear
- Affects medial head of Gastrocnemius
- Localized to musculotendinous junction
- Signs
- Tenderness and swelling at medial gastrocnemius
- Negative Thompson's Test
- Differential Diagnosis
- Heel Pain
- Achilles Tendonitis
- Achilles Tendon Rupture
- Management
- Heel lift (1/2 inch)
- Calf sleeve
- Isometric calf contractions in plantar flexion
- Gentle calf Stretching
- Course
- Anticipate 3-6 weeks for recovery
- References
- Lecture: Kimmel (1997) AAFP Sports Medicine Review