Gastrocnemius Case Study

Superior Essays
Definition :
Gastrocnemius strain is injury to muscle. Also known as Tennis leg. The strains are injuries affect tendons ,muscles and thick band that attach muscle to bones. (Dixon,2009)
The grades of strains:
Characteristics Grade 1 Grade 2 Grade 3
Muscle or tendon damage Few fibers torn Less half fibers torn Rupture
Swelling Mild Moderate-severe Moderate-severe
Muscle spasm Mild Moderate-severe Moderate-severe
Range of motion decrease Decreased Decreased Increased or decreased from swelling
Pain with passive motion Yes Yes No
Muscle weakness Mild Moderate-severe Moderate-severe
Pain with resistive motion Mild Moderate-severe None- mild (Michael Higgins,2011)

Pathophysiology :
The gastrocnemius
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Figure 3

(George & Ramlan, 2004)
Diagnosis To rule out
Deep vein Thrombosis • Run for blood test
• Venography
• Undergoes CT or MRI scans
(Kane, Balint, Gibney, Bresnihan, & Sturrock, 2004)

Cellulitis • Undergoes blood test
• Wound culture
Achilles Tendon rupture • Thompson Test
Position: pt. prone on plinth with heels placed over edge of plinth.

Action : gastrocnemius-soleus relax,examiner squeezes the belly.

Positive finding: when squeezing calf muscle.
• -The foot does not plantar flex. (Konin,
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J. Bryan Dixon; Gastrocnemius vs. soleus strain: how to differentiate and deal with calf muscle injuries; Curr Rev Musculoskelet Med (2009) 2:74–77. Level of evidence: B
2. Brain Corrigan, G. D. Maitland; 2004; Musculoskeletal; Sports Injuries; Elsevier Limited; 1994
3. Higgins, M. (2011). rehabilitation of the lower extremity. In Therapeutic exercise: From theory to practice (p. 362). Philadelphia: F.A. Davis Co
4. Hendrickson, T. (2003). chapter 9 : leg , ankle and foot. In Massage for orthopedic conditions (p. 349). Philadelphia, PA: Lippincott Williams & Wilkins.
5. Konin, J. G. (2006). section 11 ankle and foot. In Special tests for orthopedic examination (pp. 328-329). Thorofare, NY: SLACK
6. Roald Bahr, Sverre Maehlum; 2004; Clinical guide to sports injuries; Human Kinetics; 2003.
7. John George, & Ramlan Abd. Aziz. (2004). case 11. In case histories in joint and muscle injury(pp. 29-31). Kuala Lumpur: city reprographic services.
8. Kane, D., Balint, P. V, Gibney, R., Bresnihan, B., & Sturrock, R. D. (2004). Differential diagnosis of calf pain with musculoskeletal ultrasound imaging, 11–14. http://doi.org/10.1136/ard.2002.002824
9. Kisner , C, & Colby , L. (2007), Therapeutic Exercise Foundations and Techniques , 5th ed, Pp 885, F.A.

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