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Gastrocnemius TearAka: Partial Gastrocnemius Disruption, Medial Gastrocnemius Rupture, Tennis Leg

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

Rupture of gastrocnemius tendon (C0434359)

ConceptsInjury or Poisoning (T037)
EnglishRupture of gastrocnemius tendon, Torn gastrocnemius
Spanishruptura del tendon del gemelo
Parent ConceptsRupture of tendon of lower limb (C0559448), Disorder of lower leg (C1290880)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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