Acute tear of the fascia cruris at the attachment to the Achilles tendon: a new diagnosis

NewsBot · Sep 8, 2014

Members do not see these Ads. Sign Up.
Acute tear of the fascia cruris at the attachment to the Achilles tendon: a new diagnosis
Nick Webborn, Dylan Morrissey, Kasthuri Sarvananthan, Otto Chan
Br J Sports Med; in press

Background The fascia cruris encloses the posterior structures of the calf and connects to the paratenon and the Achilles tendon. We describe the clinical presentation, ultrasound imaging characteristics and the time to the recovery of tears of the fascia cruris at the attachment to the Achilles tendon.

Methods Retrospective review of 11 tears of the fascia cruris in the different legs as separate events in 9 patients (6 male and 3 female, mean age 35.52 years, range 11–48) identified using diagnostic ultrasound, after presenting with Achillodynia.

Results 11 participants presented at a mean of 4.5 weeks (range 0.5–12) after onset of symptoms. The left Achilles was more commonly injured than the right (7 : 4) and the lateral side more than the medial (6 : 4) with one case with medial and lateral presentation. Clinically, there was swelling and tenderness over the medial or lateral border in the mid to upper portion of the Achilles. 7 of the 11 (63.6%) had functional overpronation. Ultrasound appearances of a tear were identified as hypoechoic area extending from the medial or lateral border of the Achilles extending along the anatomical plane of the fascia cruris. Average return to activity was 5.2 weeks (range 1–22). Participants presenting later had longer recovery but all participants returned to full activity (r=0.4).

Conclusions This is the first description of the clinical details and sonographic findings of a tear to the fascia cruris at its attachment to the Achilles tendon. This needs to be considered as a cause of Achillodynia in athletes as recognition will affect the management.
Click to expand...

Admin2 · Sep 8, 2014

Related Threads:
Achilles tendon rupture

mike weber · Sep 9, 2014

Anyone able to send me the full text?

Peter · Sep 9, 2014

Its free to download

mike weber · Sep 9, 2014

Ahh thanks

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

mike weber MVP

Peter Well-Known Member

mike weber MVP

Acute Tears of the Tibialis Posterior Tendon Following Ankle Sprain

Sudden exertions causing acute pain at ankle/top of foot

Topical oxygen therapy in acute traumatic musculoskeletal wounds of the foot and ankle

Acute metatarsal fractures

Acute effects of warming up on Achilles tendon blood flow and stiffness

A biomechanical assessment of the acute hallux abduction manipulation intervention

Acute stabbing pain side of my foot helppp.

Share This Page