Yilmaz Cengiz, Orgenc Yaman, Ergenc Ruken, Erkan Nazif
Ministry of Health, Izmir Training and Research Hospital, Department of Radiology, Bozyaka, Izmir, Turkey.
Comput Med Imaging Graph. 2008 Dec;32(8):728-31. doi: 10.1016/j.compmedimag.2008.09.001. Epub 2008 Oct 29.
The aim of this retrospective study is to report a unique group of patients in whom rupture of the medial gastrocnemius muscle (tennis leg) occurred during namaz praying.
We reviewed the sonographic and/or MR imaging findings of 543 patients who were referred for the evaluation of leg pain and swelling during the last 7 years. Fourteen patients with a final diagnosis of tennis leg that occured during namaz praying were included in this study.
Nine of 14 (64.2%) patients had incomplete and the remainder 5 (35.8%) patients had a partial tear at the musculotendinous junction (MTJ). Four of 14 (28.6%) patients were mistaken for deep vein thrombosis (DVT) on the basis of clinical findings and presentation. Associated fluid collection between the gastrocnemius and soleus muscle was noted in 11 (78.5%) patients. Isolated fluid collection between the gastrocnemius and soleus muscle without disruption of the gastrocnemius muscle was seen in 1 patient.
Rupture of the medial gastrocnemius muscle may occur during namaz praying. The clinical presentation is not always characteristic and may simulate DVT. US and MRI are useful diagnostic tools to establish the correct diagnosis and prompt further treatment.
本回顾性研究旨在报告一组独特的患者，他们在进行礼拜时发生了腓肠肌内侧头断裂（网球腿）。
我们回顾了过去7年中因腿部疼痛和肿胀前来评估的543例患者的超声和/或磁共振成像（MR）检查结果。本研究纳入了14例最终诊断为在礼拜时发生网球腿的患者。
14例患者中有9例（64.2%）在肌-腱连接处（MTJ）发生不完全撕裂，其余5例（35.8%）为部分撕裂。14例患者中有4例（28.6%）基于临床表现被误诊为深静脉血栓形成（DVT）。11例（78.5%）患者在腓肠肌和比目鱼肌之间发现有相关的液体积聚。1例患者在腓肠肌和比目鱼肌之间出现孤立的液体积聚，而腓肠肌未发生断裂。
腓肠肌内侧头断裂可能在礼拜时发生。临床表现并不总是具有特征性，可能类似DVT。超声和磁共振成像（MRI）是确立正确诊断并促使进一步治疗的有用诊断工具。
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