Gastrocnemius strain: Difference between revisions
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==Background== | ==Background== | ||
*Also known as "Tennis leg" | *Also known as "Tennis leg" | ||
*Typical mechanism of injury is pushing off with foot on affected side | |||
==Clinical Features== | ==Clinical Features== | ||
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*Calf pain | *Calf pain | ||
*Bruising | *Bruising | ||
*Swollen muscle | *Swollen muscle body (generally in medial calf area) | ||
=== | ===Calf Raise Test=== | ||
*Plantar flex the affected ankle. Patients with achilles tendon rupture will not be able to complete the motion, gastrocnemius tears will be tender but can partially complete the motion. | *Plantar flex the affected ankle. Patients with achilles tendon rupture will not be able to complete the motion, gastrocnemius tears will be tender but can partially complete the motion. | ||
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==Evaluation== | ==Evaluation== | ||
*Typically a clinical diagnosis | *Typically a clinical diagnosis | ||
*May consider tib/fib | *May consider tib/fib X-ray or [[DVT ultrasound]] to rule out other diagnoses, if unclear | ||
==Management== | ==Management== | ||
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==Disposition== | ==Disposition== | ||
* | *Discharge | ||
==External Links== | |||
*[https://emergencymedicinecases.com/episode-58-tendons-ligaments-missed-orthopedic-injuries/] | |||
==See Also== | ==See Also== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 23:34, 28 October 2017
Background
- Also known as "Tennis leg"
- Typical mechanism of injury is pushing off with foot on affected side
Clinical Features
- Audible pop
- Calf pain
- Bruising
- Swollen muscle body (generally in medial calf area)
Calf Raise Test
- Plantar flex the affected ankle. Patients with achilles tendon rupture will not be able to complete the motion, gastrocnemius tears will be tender but can partially complete the motion.
Differential Diagnosis
Calf pain
- Achilles tendon rupture
- Calcaneal bursitis
- Cellulitis
- Compartment syndrome
- Deep venous thrombosis (DVT)
- Distal leg fractures
- Gastrocnemius strain
- Ruptured popliteal cyst (Bakers cyst)
- Superficial thrombophlebitis
Evaluation
- Typically a clinical diagnosis
- May consider tib/fib X-ray or DVT ultrasound to rule out other diagnoses, if unclear
Management
- RICE
- NSAIDS
- Ankle/foot bracing in a position of maximal tolerable dorsiflexion
- Early weight bearing as tolerated
Disposition
- Discharge