Muscle rupture in medial gastrocnemius

Patient that attends to the clinic with a pain in a spot in the lower vertex of the medial gastrocnemius. The pain appeared suddenly while running. It is described as a blow with a stone. There is no hematoma, but there is pain when touching the painful point and when doing efforts and stretching.

It is decided to make an ultrasound. The following images are found.

This image has been taken longitudinally.

The rupture in this spot tipically appears in the vertex of the medial gastrocnemius, where both fascias (gastrocnemius and soleus) join.

This pain is not usually identified as a muscle injury and many of them evolve to a more severe injury. The ultrasound image allows me to locate the injury and treat it in the same moment, being able to reduce the recovery terms.