Calf muscle injuries

 

British Athletics Muscle Injury Classification (MRI)

 

Grade 1 Grade 2 Grade 3 Grade 4
< 10% CSA 10 - 50% CSA > 50% Complete tears
< 5 cm length 5 - 15 cm in length > 15 cm long  

 

A: Myofascial / peripheral aspect of muscle - best prognosis

B: Musculo-tendinous - most common

C: Intra-tendinous - worst prognosis

 

Grade 2C: 

- < 5 cm and < 50% of tendon involvement

 

Grade 3C:

- > 5cm and > 50% tendon involvement

- loss of straight margins / tendon tension suggesting some loss of tendon integrity

 

MRI

 

soleusGrade 2b soleus

 

Grade 2b lateral soleus