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Part 9 > Chapter 124 “Plantaris Tendon” Rupture, Gastrocnemius Muscle Tear(Calf Muscle Tear)

著者:Katherine Dolbec and Joe Ravera
 
Abstract
Calf strain, encompassing plantaris tendon rupture, gastrocnemius tear, and tennis calf, is a commonly-sustained injury that occurs when a patient forcefully plantarflexed or the knee is extended while the ankle is dorsiflexed. This injury must be distinguished form Achilles tendon rupture, as this may require surgical repair. Gastrocnemius tears can generally be treated conservatively with compression, weight bearing as tolerated, over-the-counter oral analgesics, and gentle stretching and strengthening exercises, although full recovery may take several weeks to month
 
Keywords
Achilles rupture
Achilles tendon rupture
calf muscle tear
calf squeeze test
calf strain
gastrocnemius muscle tear
gastrocnemius tear
plantaris rupture
Plantaris tendon rupture
Simmonds test
tennis calf
tennis leg
Thompson test

Presentation  
    The patient will come in limping, having suffered a whiplike sting in the calf while stepping off the foot hard or attempting a lunging shot during a game of tennis or similar activity. The patient may have actually heard or felt a “snap,” described as being like the “pop” of a champagne cork, at the time of injury or may think someone actually kicked or shot him in the calf. The deep calf pain persists and may be accompanied by mild to moderate swelling and ecchymosis. Neurovascular function will be intact.
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