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The gastrocnemius muscle is prone to spasms, which are painful, involuntary contractions of the muscle that may last several minutes. [5] A severe ankle dorsiflexion force may result in a Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling. [6]
In adults, Baker's cysts usually arise from almost any form of knee arthritis (e.g., rheumatoid arthritis) or cartilage (particularly a meniscus) tear. Baker's cysts in children do not point to underlying joint disease. Baker's cysts arise between the tendons of the medial head of the gastrocnemius and the semimembranosus muscles.
In chronic injuries, patients sometimes learn to walk with a partially flexed knee to alleviate the instability caused by their injury. Patients with medial compartment arthritis can also demonstrate a varus thrust gait, so it is important to differentiate between the two causes using plain radiographs. [ 22 ]
PAES may be found incidentally on the imaging, but the patient may be symptom-free, thus, no intervention is required. [13] Symptomatic patients: open surgical decompression is the mainstay of treatment for PAES. [26] The release of entrapment is achieved by performing division of the medial head of the gastrocnemius or musculotendinous band.
Recent research has indicated that while the test is an accurate detector of achilles rupture, it is unable to distinguish between partial tear (tear of the gastrocnemius or soleal portion only) and a complete tear of both portions. [4] Complete tear of achilles tendon in ultrasound with Simmonds' test
Ankle of the patient is relaxed. It is helpful to support the ball of the foot at least somewhat to put some tension in the Achilles tendon, but don’t completely dorsiflex the ankle. A small strike is given on the Achilles tendon using a rubber hammer to elicit the response.
In one clinical study, 94 out of 141 patients (66.7%) diagnosed with tennis leg were found with a partial rupture of the gastrocnemius muscle, while rupture of the plantaris tendon was only seen in 2 patients (1.4%). [6] Injury may occur from running, jumping, or pushing off one leg in sports such as tennis, basketball and soccer, which require ...
Gastrocnemius recession is a surgical procedure that involves lengthening the gastrocnemius muscle to reduce tension in the Achilles tendon and plantar fascia. This technique improves the ankle's range of motion, reduces pain, and can help patients return to work, sports, and weight-bearing activities more comfortably.
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