Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

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Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

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Transcript of Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

Page 1: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

Case 1: 44 Y/M

CC of left calf tendernessafter golf game, unable to walk and muscle swelling.

Page 2: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

PAST HISTORY:

• Obesity with hyperlipidemia under medication control.

• Gouty arthritis.• Hyperglycemia status under

medication.• Denied other disease or OP history.

Page 3: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

MRI study in 94.11

• Nothing change of chest X-ray in recent years.. Had muscle tear, edema or hematoma seen by MRI study.

Page 4: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 5: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 6: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 7: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 8: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 9: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 10: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

Muscle scan(Tc-99m SC)

• Dynamic study• Blood pooling phase.• Delaye phase(15 mins)+SPECT• Whole body scan

Page 11: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 12: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.
Page 13: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

Calf Strain (Rupture of the Gastrocnemius or Soleus muscle) • How to diagnosis?• Is it sport medicine range?• How to therapy?• How does it happen?

Page 14: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

How to grading severityof Musculotendinous Injuries?

• 1 degree• 2 degree• 3 degree?

Page 15: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

Outcome of this patient

• Complete rest for 2 weeks with• Walking stick support• Ice pack ,NSAID, • Gradually leakage to lower end (archillis tendon), than disappear. After 2 months, good recovery.

Page 16: Case 1: 44 Y/M CC of left calf tenderness after golf game, unable to walk and muscle swelling.

More seriour soleus muscle injury seen by MRI

• To seen this case report!


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