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It is rare in modern medicine to discover something new.  The following
is an exciting discovery by Dr. Silberman  not known to have been
reported previously in the scientific literature.


Crural Fascia Injuries and Thickening on Musculoskeletal
Ultrasound in athletes with calf pain, calf ‘strains’, exertional
compartment syndrome and botulinum toxin injections

Marc R. Silberman, Kaitlin Anders


Abstract

Crural fascia injuries are under recognized and under reported.  Only one
known dedicated paper on a crural fascia injury depicting thickening
exists in the literature, written in a greater context on an article on a
proximal paratendon Achilles injury. The following three cases of fascia
thickening surrounding the medial gastrocnemius, none of which involve
the Achilles tendon, demonstrate the superiority of ultrasound imaging
over the ubiquitous MRI in visualizing the crural fascia and questions
whether these injuries are as rare as previously thought.  One athlete
suffered from recurrent ‘calf strains’, one athlete had exertional
compartment syndrome treated with botulinum toxin, and one athlete
suffered an acute injury to his superficial gastrocnemius fascia.  

Keywords: crural fascia thickening, fascia tear, musculoskeletal
ultrasound, calf strain, exertional compartment syndrome, botulinum
toxin injection.

Copyright © 2017 Marc R. Silberman et al.  This is an open access
article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any
medium, provided the original work is properly cited.


Link to Full Article



Images:









Left Medial Gastrocnemius (MG), Soleus (S), Fascial Thickening (Arrow)



















Left Medial Gastrocnemius (MG), Soleus (S), Fascial Thickening (Arrow)




















Left Medial Gastrocnemius (MG), Soleus (S), Fascial Thickening (Arrow)



















Right s
uperficial Gastrocnemius (MG), Soleus (S) Fascial Thickening (Arrow).
The first known case to be described in the literature.

References:

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[8] Webborn N, Morrissey D, Sarvananthan K, et al. Acute tear of the fascia cruris at the attachment to the
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Crural Fascia Injuries in athletes with calf pain
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