Tennis Leg in a Skier

Radiology Corner

Tennis Leg in a Skier

Alicia M. Yochum RN, DC, DACBR, RMSK

Published: March 2019

Journal of the Academy of Chiropractic Orthopedists

March 2019, Volume 16, Issue 1

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The article copyright belongs to the author and the Academy of Chiropractic Orthopedists and is available at: https://ianmmedicine.org. © 2019 Yochum and the Academy of Chiropractic Orthopedists.

History: 34 Year old male who fell while skiiing and felt a pop with sharp pain in his medial calf. Swelling and bruising visible on evaluation.

Within the medial calf, the myotendinous junction of the medial head of the gastrocneumis tapers superficial to the soleus muscle. This junction is one of the most common locations for muscluar injury which is called Tennis Leg. Patients with this inujury report trauma or injury and indicate sharp pain at the medial calf which can extend distally along the achilles tendon. A gap can sometimes be palpated in the area of injury.

Pathologically, there is an injruy or partial tearing of the myotendinous juction of the medial gastricneumus. There can also be injury or tearing of the plantaris tendon which lies between the medial gastrocenmius and soleus. Because of the muscular injury, there is a fluid collection that forms between the two muscular bellies which is seen an labled in the figures showing both a normal and abnormal medial calf. Treatment is conservative and self limiting. If injury is severe, compartment syndrome can occur but is very rare.

References:

  1. Fundamental of Musculoskeletal Ultrasound. Jacobson J. Elsevier. 2018