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“Lawn tennis leg” was originally described in 1883 as a syndrome in which acute calf pain followed a sports related injury and was initially associated with plantaris tendon rupture [1]. The plantaris originates from the lateral supracondylar femoral ridge, just superior to the origin of the Lateral Head of the Gastrocnemius (LHG), and passes posterior to the knee joint, immediately deep to the gastrocnemius muscles, before coursing medially upon its decent into the lower leg (Figure 1). The proximal muscular portion of plantaris ranges from 7 to 13 cm in length and the long thin tendon has a mean diameter of 3.4 mm (range, 1.5-5 mm) [2]. The plantaris tendon, sometimes referred to as the “fool’s nerve” having been incorrectly identified, typically inserts along the medial aspect of the Achilles tendon although some variability in its course and insertion has been described [3,4,5]. Anatomic studies have reported congenital absence of the plantaris in7-20% of the population [6,2].

MRI Evaluation of Calf Hematoma: Frequency of Plantaris Tendon versus Medial Gastrocnemius Injury as the Causative Etiology