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Title: Gastrocnemius-Soleus Strain and Ruptures

Category: Orthopedics

Keywords: calf tear, muscle tear (PubMed Search)

Posted: 11/10/2012 by Brian Corwell, MD

Injury is often caused by sudden dorsiflexion on a plantar flexed foot w/ the knee in extension or similarly sudden knee extension with the ankle in a dorsiflexed position.

Injury has a predilection for the poorly conditioned middle-aged athlete, with "thick calves" who are engaged in strenuous activity

Strains are treated with ice, analgesics, and compression (decreases hematoma size and facilitates healing)

Also, consider casting/splinting as dictated by injury severity, such as with a night splint or a CAM boot.

Severe strains and ruptures can be splinted in plantar flexion for 3 weeks.

 

References

Gallo et al. Common Leg injuries of long-distance runners:Anatomic and Biomechanical approach. Sports Health. 2012 


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