title: Isolated avulsion fracture at the medial head of the gastrocnemius muscle.
abstract: An isolated avulsion fracture involving the femoral origin of the medial head of the gastrocnemius muscle without an associated muscular, meniscal, or ligamentous injury is extremely rare. We report a case of a 14-year-old male wrestler who presented with a radiographically occult avulsion fracture of the medial gastrocnemius tendon sustained during competition. To our knowledge, this is the first case to describe a mechanism of injury as well as to report a return to competition after non-operative management.
authors.affiliation: Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Patterson
authors.forename: Peter
authors.initials: P
authors.lastname: Jokl
authors.forename: Lee D
authors.initials: LD
authors.lastname: Katz
authors.forename: David A
authors.initials: DA
authors.lastname: Lawrence
authors.forename: Edward
authors.initials: E
authors.lastname: Smitaman
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging* / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000473:pathology; D011859:Radiography; D016059:Range of Motion, Articular; D014952:Wrestling / Q000293:injuries*