TURK OSTEOPOROZ DERGISI-TURKISH JOURNAL OF OSTEOPOROSIS, sa.3, ss.178-182, 2024 (ESCI, TRDizin)
The rupture of the fascia at the junction of the medial head of the gastrocnemius muscle and the soleus is called the tennis leg. It mostly occurs when the muscle is overstretched during sports or general daily activities and is often seen in middle-aged and physically active person. This report presents the management of an unusual case of a 61-year-old male who presented with a swelling in his calf and was diagnosed with a tennis leg by imaging methods. The fluid between the medial head of the gastrocnemius and soleus muscles was drained 4 times with ultrasound (US) at intervals of 2 weeks. The patient received two US-guided steroid injection and used non-steroidal anti-inflammatory drug (celecoxib 200 mg/day) for one month. The swelling and pain in his calf disappeared and no fluid collection was detected on US at the 3-month follow-up. US may be preferred as a useful tool in evaluating the specific reason of calf injury, guessing the severity of the damage, and monitoring the recovery process.