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Báo cáo y học: "A novel approach to sonographic examination in a patient with a calf muscle tear: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A novel approach to sonographic examination in a patient with a calf muscle tear: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report A novel approach to sonographic examination in a patient with a calf muscle tear a case report Carl PC Chen1 Simon FT Tang1 Chih-Chin Hsu1 Ruo Li Chen2 Rex CH Hsu3 Chin-Wen Wu1 and Max JL Chen1 Addresses Department of Physical Medicine Rehabilitation Chang Gung Memorial Hospital and College of Medicine Chang Gung University Tao-Yuan County 333 Taiwan 2Pharmaceutical Sciences Research Division King s College Hodgkin Building Guy s Campus London SE1 1UL UK and 3Department of Medicine Chang Gung University College of Medicine Tao-Yuan County 333 Taiwan Email CPCC - carlchendr@gmail.com SFTT - fttang@adm.cgmh.org.tw CH - steele1@ms10.hinet.net RLC - Ronnie.chen@kcl.ac.uk RCHH - rexander_hentai@yahoo.com.tw CW - m7255@adm.cgmh.org.tw MJLC - bigmac1479@gmail.com Corresponding author Received 7 January 2008 Accepted 22 January 2009 Published 25 June 2009 Journal of Medical Case Reports 2009 3 7291 doi 10.4076 1752-1947-3-7291 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 7291 2009 Chen et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Rupture of the distal musculotendinous junction of the medial head of the gastrocnemius also known as tennis leg can be readily examined using a soft tissue ultrasound. Loss of muscle fiber continuity and the occurrence of bloody fluid accumulation can be observed using ultrasound with the patient in the prone position however some cases may have normal ultrasound findings in this conventional position. We report a case of a middle-aged man with tennis leg. Ultrasound examination had normal findings during the first two attempts. During the third attempt with the patient