Tennis leg classically presents in a middle-aged person with sport-related acute pain in the middle portion of the calf, associated with a snapping sensation. Initially attributed to rupture of the plantaris tendon, more recent work has implicated rupture of the medial head of the gastrocnemius muscle at the musculotendinous junction as a more common etiology.
References
Delgado GJ, Chung CB, Lektrakul N, Azocar P, Botte MJ, Coria D, Bosch E, Resnick D. Tennis leg: clinical US study of 141 patients and anatomic investigation of four cadavers with MR imaging and US. Radiology. 2002 Jul;224(1):112-9.
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