Proximal medial head gastrocnemius tendon tear and tendinopathy

Discussion:

Significance of tendinopathy and tears in this tendon is unknown.  It rarely seems to be symptomatic as compared with the much more common tears in the calf ("tennis leg") at the distal musculo-tendinous junction (that are very painful; attributed to be such by this author!).  True tendinopathy should be differentiated from "magic angle" effects given that the tendon curves through the plane of the magnetic field.  This is done by looking at effects other than signal increase (ie tendon tears, swelling and surrounding inflammation) as well as the use of longer TE sequences.

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