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Calf injury in a padel player
  1. Carles Pedret1,
  2. Sandra Mecho2,
  3. Ramon Balius3,
  4. Gulraiz Ahmad4
  1. 1 Sports Medicine and Imaging, Clinica de Medicina Integral Diagonal SLU, Esplugues de Llobregat, Spain
  2. 2 Hospital de Barcelona, Barcelona, Spain
  3. 3 Sports Medicine Department, Consell Català de l’Esport. Generalitat of Catalonia. Barcelona, Barcelona, Spain
  4. 4 Radiology department, Manchester University NHS Foundation Trust, Manchester, UK
  1. Correspondence to Dr Carles Pedret, Sports Medicine and Imaging, Clinica de Medicina Integral Diagonal SLU, Esplugues de Llobregat, Barcelona, Spain; info{at}

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Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and ankle) and contains a high density of type 2 fast-twitch muscle fibres.1


A padel player in his early 30s presented with acute pain in his right posterior calf after making an abrupt forward step to accelerate after initially running back during a match.

Imaging findings

Ultrasound examination was performed 7 days after the injury and demonstrated complete rupture of the distal medial gastrocnemius aponeurosis with extension of the tear into the free gastrocnemius aponeurosis (figure 1). There was also a large intermuscular haematoma and dissociative movement between the medial gastrocnemius and soleus muscle bellies during dynamic plantarflexion and dorsiflexion, compatible …

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  • X @carlespedret, @DrGulraizAhmad

  • Contributors CP, SM, RB and GA were involved in the planning, conducting and writing of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.