title: Concomitant Contracture of the Knee and Ankle Joint After Gastrocnemius Muscle Rupture: A Case Report.
abstract: Injury of the medial head of the gastrocnemius, also called "tennis leg," is known to heal uneventfully in most cases with compression and immobilization therapy. Failure to heal or long-term complications, including ongoing pain and pes equinus, have been documented in only a limited number of case reports. To the best of our knowledge, a severe concomitant contracture of the knee and ankle joint as a consequence of a maltreated gastrocnemius muscle rupture has not been previously reported in English-language reports. The purpose of the present study was to report a serious complication of neglected tennis leg with a review of the published data.
authors.affiliation: Orthopaedic Surgeon, Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Dong Jin
authors.initials: DJ
authors.lastname: Ryu
authors.affiliation: Professor, Department of Pathology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Joon Mee
authors.initials: JM
authors.lastname: Kim
authors.affiliation: Associate Professor, Orthopaedic Surgeon, Department of Orthopaedic Surgery, Inha University College of Medicine, Incheon, Korea. Electronic address: bskim.md@gmail.com.
authors.forename: Bom Soo
authors.initials: BS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000843:Ankle Joint; D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis; D001707:Biopsy, Needle; D003286:Contracture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018450:Disease Progression; D004863:Equinus Deformity / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005500:Follow-Up Studies; D005538:Football / Q000293:injuries; D006801:Humans; D007150:Immunohistochemistry; D007719:Knee Joint; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018482:Muscle, Skeletal / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012421:Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000534:rehabilitation; D013165:Splints; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Silfverskiold test; contracture; gastrocnemius; pes equinus; tennis leg