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. 2024 Sep 12;14(11):7958–7968. doi: 10.21037/qims-24-298

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A 22-year-old male soccer player presents with severe pain during the match and a free gastrocnemius aponeurosis injury at 36 hours was diagnosed. Long axis US image (A) shows an altered echostructure with disruption (arrowheads). The distal fragment of the disruption shows a fusiform and thick shape. The muscle echostructure of the medial head of the gastrocnemius is minimally altered (arrow). Axial (B) and sagittal fat-suppressed TSE intermediate-weighted images (C) show a clear isolated gap in the free aponeurosis (arrowheads). There is no remarkable hematoma. See Video 4 showing synchronous motion of the gastrocnemius and soleus muscles. US, ultrasound; TSE, turbo spin-echo.