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dc.contributor.authorHumphrey, Colette
dc.description.abstractBACKGROUND: ‘Tennis leg’, defined as injury to the distal musculotendinous junction of the medial gastrocnemius, is a relatively common injury sustained during sports and day to day activity. This condition is generally considered to most frequently affect people of middleage. Ultrasound imaging studies have demonstrated that the medial gastrocnemius is the injury most often observed in posterior leg injuries while magnetic resonance imaging studies generally show that soleus is more frequently injured. To date, current ultrasound studies do not report on all characteristics shown on ultrasound, unlike magnetic resonance imaging studies. AIM: To describe the characteristics of clinical information for patients referred for ultrasound imaging of the posterior leg during a 12-month period within a musculoskeletal ultrasound clinic in Auckland, New Zealand. METHODS: 3437 ultrasound reports from the 1st January 2018 to 31st December 2018 were retrospectively reviewed. 63 reports of calf muscle tear were included for final review, and all reported ultrasound imaging findings were extracted into a spreadsheet. RESULTS: This study found 52 reports involving medial gastrocnemius, 9 reports of soleus tear, 1 report of lateral gastrocnemius and 1 report of plantaris tear. The distal musculotendinous junction of medial gastrocnemius was involved in 43 and 7 reported cases of medial gastrocnemius and soleus muscles respectively. In 12 reported cases, a tear was appreciated in the aponeurosis. A total of 22 haematomas were reported, 21 were appreciated alongside medial gastrocnemius tears, while one was in association with a soleus tear. Two reports were indicative of both a tear and associated deep vein thrombosis. CONCLUSION: This study supports that the distal musculotendinous junction of the medial gastrocnemius is the site most frequently injured within the calf, and at least in this sample the middle-aged population were the most represented age group presenting for imaging. Ultrasound imaging appears to be useful in determining the site and extent of injury and also to determine the presence of associated pathology (particularly deep vein thrombosis) in order to determine the most appropriate management for the patient. Future research should determine the relationship between site and size of musculotendinous injury and the time taken to return to activity.en_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectAuckland (N.Z.)en_NZ
dc.subjectNew Zealanden_NZ
dc.subjecttennis legen_NZ
dc.subjectmedial gastrocnemiusen_NZ
dc.subjectdiagnostic ultrasounden_NZ
dc.subjectultrasound imaging (USI)en_NZ
dc.subjectosteopathic medicineen_NZ
dc.subjectleg injuriesen_NZ
dc.titleA retrospective evaluation of clinical records for patients referred for diagnostic ultrasound of posterior leg injuriesen_NZ
dc.typeMasters Thesisen_NZ
dc.rights.holderAuthoren_NZ of Osteopathyen_NZ Institute of Technologyen_NZ
dc.subject.marsden110499 Complementary and Alternative Medicine not elsewhere classifieden_NZ
dc.subject.marsden110320 Radiology and Organ Imagingen_NZ
dc.identifier.bibliographicCitationHumphrey, C. (2020). A retrospective evaluation of clinical records for patients referred for diagnostic ultrasound of posterior leg injuries. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, New Zealand. Retrieved from
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.publication.placeNew Zealanden_NZ
unitec.advisor.principalMoran, Robert
unitec.advisor.associatedMason, Jesse

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