Recurrent calf pain after sport activity

Clinical introduction A previously healthy 46-year-old man experienced acute mid-calf pain while playing paddle tennis. He treated himself with non-steroidal anti-inflammatory drugs and local cold application, and took a rest. One week later, he consulted the ED due to persistent pain and swelling in the area. Examination revealed tenderness to palpation of the medial belly of the gastrocnemius muscle. A point-of-care ultrasound was performed (figure 1). Question What is the most likely diagnosis? Morel-Lavallée lesion Pyomyositis Complicated Baker’s cyst ‘Tennis leg’ injury Answer: D Rupture of the medial portion of the medial gastrocnemius muscle, commonly known as ‘tennis leg’, often occurs during sports such as tennis or paddle tennis, typically resulting from sudden knee extension and plantar flexion.1 On ultrasound, this injury presents as an anechoic collection located between the fascia of the medial gastrocnemius and...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: EMJ Image Challenge Source Type: research