Posterior Compartment Syndrome of the Calf Resulting from Misdiagnosis of a Rupture of the Medial Head of the Gastrocnemius

Anouchi, Yoel S.; Parker, Richard D.; Seitz, William H.

doi:10.1097/00005373-198706000-00016

Cited by 41 publications

(15 citation statements)

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“…Namely, it was explained that pseudocystic liquid formation is usually serous and is resorbed spontaneously, as it was the case in our study. According to the results of our study and our experience, as well as the current standpoint in scientific circles it is not necessary to perform surgical incision in case of presence of liquid collection in the ruptured muscle except in the case of compartment syndrome 6,19 . Deep venous thrombosis was found in 5 cases (1 isolated and 4 associated with rupture) out of 81 patients involved in the study with the diagnosis of "tennis leg" (6.2%).…”

Section: Discussionmentioning

confidence: 52%

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Ultrasonographic Evaluation of the Ruptured Medial Head of Gastrocnemius Muscle

Lukac

Jakovljević

Klasnja

et al. 2016

Rev Bras Med Esporte

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Introduction: Tennis leg, a common injury of the medial head of gastrocnemius muscle in the muscle-tendon junction, is usually reported in men during recreational sports. Sudden pain is the main symptom accompanied by the feeling of rupture in the calf. Clinical examination followed by ultrasound is the standard diagnostic procedure. Objective: The main objectives of this study are to compare clinical and ultrasonographic findings in cases of tennis leg, evaluate the location and type of lesion in the medial head of gastrocnemius muscle, and evaluate the edema volume and the presence of deep vein thrombosis (DVT). Second, the healing process was monitored with ultrasound to distinguish the level of recovery and to record the presence of chronic sequelae. Methods: Eighty-one subjects with clinical symptoms of rupture of the medial head of gastrocnemius muscle participated in the study. A linear probe (7-12 MHz) was used for ultrasonographic (US) and a Doppler was used to verify the presence of DVT. Results: In 78 of 81 subjects examined, we found obvious US changes (96.3%) and three of them had no positive findings. In 67 of them, we diagnosed rupture of the medial head of the gastrocnemius muscle. Most of them had partial rupture (73.13%) and the remaining had total rupture (26.87%). The edema (30.84%) was found in the space between the aponeurosis of the gastrocnemius and soleus muscles. DVT with the clinical signs of tennis leg was observed in 5 of 81 patients (6.17%). Conclusion: Our findings indicate that ultrasound is very important for early diagnosis of muscle-tendon injuries in the leg. In addition, monitoring the healing process and assessing the chosen treatment showed a high efficiency. Ultrasonography is an effective method to identify and differentiate the sequelae of the injured muscles and vascular complications.

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Section: Discussionmentioning

confidence: 52%

“…4,5 . Incomplete and misdiagnosis of such clinical situation could have severe consequences to the general health of the patient 6 . For this reason, in modern clinical practice, we use ultrasonographic (US) procedures in diagnosing the "tennis leg" as a routine and reliable visualization method of choice.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic Evaluation of the Ruptured Medial Head of Gastrocnemius Muscle

Lukac

Jakovljević

Klasnja

et al. 2016

Rev Bras Med Esporte

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“…However, anticoagulation is not without risks and should not be undertaken lightly. Indeed, case reports of inappropriate anticoagulation of a swollen lower limb leading to compartment syndrome requiring fasciotomy and debridement can be found in the literature (9,10).…”

Section: Discussionmentioning

confidence: 99%

Plantaris Rupture: A Mimic of Deep Venous Thrombosis

Lopez

Hoffman

Davenport

2011

The Journal of Emergency Medicine

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“…The diagnosis is primarily clinical; however, measurement of compartment pressure is relatively simple and adds supportive evidence. 3. The treatment of acute compartment syndrome is urgent and requires complete open fasciotomy.…”

Section: Diagnosismentioning

confidence: 99%

Acute lower leg compartment syndrome.

Power

Greengross²

1991

Br J Sports Med

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Acute compartment syndromes in the lower leg are well recognized following major trauma. However, although rare, they may occur following seemingly minor sporting injury. A case of acute compartment syndrome, following a football game and affecting the peroneal or lateral compartment, is described, in which prompt diagnosis and treatment led to a satisfactory outcome. The diagnosis and surgical management of acute compartment syndromes are discussed. Early recognition and treatment are important in the prevention of long-term disability.

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Posterior Compartment Syndrome of the Calf Resulting from Misdiagnosis of a Rupture of the Medial Head of the Gastrocnemius

Cited by 41 publications

References 0 publications

Ultrasonographic Evaluation of the Ruptured Medial Head of Gastrocnemius Muscle

Ultrasonographic Evaluation of the Ruptured Medial Head of Gastrocnemius Muscle

Plantaris Rupture: A Mimic of Deep Venous Thrombosis

Acute lower leg compartment syndrome.

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