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作 者:Siddhi Chawla
机构地区:[1]Department of Radiology,Sardar Patel Medical College,Bikaner,Rajasthan,India
出 处:《iRADIOLOGY》2024年第2期222-224,共3页融合影像学(英文)
摘 要:A 25-year-old male presented to the orthopedic out-patient department with a small bulge on the back of the left lower leg which appears on the plantarflex-ion of the foot.It developed suddenly 5 days ago when the patient was running with a sharp pain in the calf(Figure 1a).On examination,there was a well-defined soft tissue density lesion in the medial side of the leg which became more pronounced on plantarflexion(Video S1).Ultrasound(done on Sonoscape P12)with a linear probe(9-12 Hz)revealed a bulky medial head of gastrocnemius with lobulated inferior edge contour at the site of the swelling with hyperechoic soft tissue at the inferior edge of the belly signifying buckled up aponeu-rosis at its inferior edge(Figure 1b,c;Video S2 shows the dynamic evaluation of gastrocnemius with curvilinear probe;Video S3 shows the normal contralateral side for comparison).The muscle became prominent on plantar flexion with increase in the buckling of the aponeurosis.The swelling disappeared on the dorsiflexion and on ultrasound findings returned to baseline.There was no intermuscular fluid or adjacent collection.A diagnosis of“Tennis leg”due to a partial rupture of the medial head of gastrocnemius at musculoaponeurosis junction was made.
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