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SM Sports Medicine & Therapy

Imaging of Chronic Calf Strain Injuries and Adhesiolysis of Calf Aponeurosis Scarring

[ ISSN : 3067-9788 ]

Abstract
Details

Received: 17-Oct-2018

Accepted: 19-Oct-2018

Published: 29-Sep-2018

Eamon Koh1,2, Myles Murphy3-5*, Paolo Todaro6 and Jeffrey Boyle2,7

1 Envision Medical Imaging, Wembley, Australia

2 Medical Department, Fremantle Football Club, Australia

3 School of Physiotherapy, The University of Notre Dame Australia, Australia

4 Sports Med Subiaco, St John of God Health Care, Australia

5 Department of Sports Medicine, Western Australian Cricket Association, Australia

6 Royal Perth Hospital, Australia

7 School of Physiotherapy and Exercise Science, Curtin University, Australia

Corresponding Author:

Myles Murphy, Department of Sports Medicine, Western Australian Cricket Association, Australia, Email: myles. murphy1@my.nd.edu.au

Abstract

Chronic calf strain injuries are an uncommon but potentially debilitating injury which may result in significant functional impairment in runners and time lost from play in athletes. In athletes and runners with previous calf injury, we believe that scarring between gastrocnemius and soleus aponeuroses, particularly in relation to the plantaris tendon, may result in altered calf muscle biomechanics that may predispose to re-injury. Clinically, these patients may present with ‘incipient’ calf tears or recurrent calf tears. We describe the clinical and imaging findings in chronic calf strain injury and report on a new technique for the management of these injuries, calf aponeurosis adhesiolysis, which may help to restore the normal biomechanical relationship between the gastrocnemius and soleus aponeuroses and the plantaris tendon during activity.

Citation

Koh E, Murphy M, Todaro P and Boyle J. Imaging of Chronic Calf Strain Injuries and Adhesiolysis of Calf Aponeurosis Scarring. SM J Sports Med Ther. 2018; 2(1): 1003.