Partial tear of the medial gastrocnemius head

This case report presents the clinical findings and management of a 32-year-old male recreational athlete who presented with ongoing knee pain for 4 months, without a history of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed a partial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and a gradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.

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Publication Details

Journal
Die Unfallchirurgie
Published
2025-02-06
DOI
https://doi.org/10.1007/s00113-025-01534-5
Primary Topic
Sports injuries and prevention
Type
article
Field-Weighted Citation Impact
0.00
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article

Partial tear of the medial gastrocnemius head

Daniel P. Berthold, Fabian Gilbert, Boris Michael Holzapfel, Markus Bormann et al.
Die Unfallchirurgie
Sports injuries and prevention
article

Partial tear of the medial gastrocnemius head

Daniel P. Berthold, Fabian Gilbert, Boris Michael Holzapfel, Markus Bormann, Frank Traub, Wolfgang Böcker
article en

Abstract

This case report presents the clinical findings and management of a 32-year-old male recreational athlete who presented with ongoing knee pain for 4 months, without a history of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed a partial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and a gradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.

Die UnfallchirurgieVol. 128(4)
LMU Klinikum (DE), Kreiskrankenhaus Gummersbach (DE), OrthoCarolina Research Institute (US), Ludwig-Maximilians-Universität München (DE)
Good health and well-being
Openalex Percentile: Top 97%
Sports injuries and prevention
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