How to locate the plantaris tendon of the calf on your MSK Ultrasound exam

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In addition to the gastrocnemius-soleus complex, which structure should also be evaluated when you get a referral to rule out a calf tear? • The plantaris tendon. This long, thin tendon originates above the #knee joint at the lateral femoral condyle and courses medially in the #calf before inserting onto the posteromedial aspect of the #calcaneus, either medial or anterior to the #Achilles tendon. • You can locate this tendon on #ultrasound by placing the #transducer over the medial aspect of the mid to distal posterior calf to visualize the tiny plantaris tendon where it lies between the medial head of the #gastrocnemius #muscle and the #soleus muscle. • It is important to routinely include this #tendon in your protocol so that you do not confuse a plantaris tear for a medial gastroc #tear. If you know where to look for the plantaris tendon on your exam, then you will be able to easily differentiate them. • When a fluid collection is present in the expected location of the plantaris tendon without visualization of the tendon, then a plantaris tear should be suspected. A medial gastroc tear usually occurs further distal in the calf at the level of the myotendinous junction, but may extend proximally. It is possible for them to coexist. • #tuesdaytipswithjamie #mskultrasound #msk #ultrasound #sonography #sonographer #ultrasoundtech #ortho #sportsmedicine #like #share #subscribe

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