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MUSCULOSKELETAL Table of Contents   
Year : 2010  |  Volume : 20  |  Issue : 4  |  Page : 269-273
Pictorial essay: Ultrasonography in 'tennis leg'

1 Saboo Siddique Hospital, Near J. J. Hospital & Acuscan Medical Centre, Juhu, Mumbai, India
2 Eclate Polyclinic, Ville Parle, Mumbai and Life Scan Imaging Center, Malad, Mumbai, India
3 Life Scan Imaging Center, Malad, Mumbai, India

Correspondence Address:
Jeshil R Shah
Shop 1, Laxmi Niwas, Pai Nagar, S.V.P. Road, Borivali (West), Mumbai - 400 092
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.73542

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Tennis leg is caused by a rupture of the medial head of the gastrocnemius muscle, usually at its distal musculotendinous junction region. However, tears in this muscle and its tendon are also included under the term 'tennis leg'. It is seen regularly in practice and is an important cause of a painful calf. The common USG findings include: disruption of the pinnate pattern of the distal medial gastrocnemius, usually near the junction of the triceps surae (which is the echogenic line between the gastrocnemius, the soleus, and the plantaris muscles), fluid tracking along the fascia, adjacent hematoma, and intramuscular tears as well as hematomas. USG is useful for confirming the diagnosis, excluding other causes of a painful calf, for assessing the severity of the disease, and in follow-up.

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