The plantaris has the longest tendon in the body (30-45 cm) despite its tiny muscle belly, making it the preferred graft for posterior tibial tendon reconstruction and hand and upper limb tendon grafts. It is absent in 7-10% of individuals. The plantaris muscle belly tears in the classic tennis leg injury — a sudden pop in the calf during pushing off, producing acute medial calf pain often confused with DVT. MRI shows fluid between the gastrocnemius and soleus at the musculotendinous junction level.
Vestigial ankle plantarflexion; proprioceptive sensory function; tendon graft donor site
Plantaris muscle tear (tennis leg) produces a sharp posterior leg pain with a pop during explosive push-off in recreational tennis players, runners, and middle-aged athletes. The fluid collection between gastrocnemius and soleus on MRI is characteristic. Conservative management with compression, ice, and progressive loading resolves most injuries. The tendon harvest leaves no functional deficit.
Plantaris muscle belly tear producing acute medial calf pain and between-muscle haematoma on MRI, managed conservatively with compression and progressive loading.
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