{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T17:22:46Z","timestamp":1773595366497,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004769","name":"Universit\u00e0 degli Studi di Pavia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004769","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Ultrasound"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lateral Ankle sprain is a common sports-related trauma with the mechanism of injury ranging from inversion to plantar flexion. These injuries commonly affect the ligaments but can also affect the associated soft tissue structures like the eversion muscles and tendons. Prompt and accurate diagnosis of such injuries is warranted so as to ensure early return to play and prevent long-term complications. Lateral ankle sprain injuries in sports may not always be associated with ligament injuries. We report a never before reported case of lateral ankle sprain injury in a soccer player with the unusual finding of isolated partial tear of Extensor digitorum longus muscle and its fascia leading to myo-fascial herniation. The lateral ankle ligaments were intact. The diagnosis was clinched on a high-frequency ultrasound scan supported by dynamic maneuvers which in fact proved to be superior to MRI as the latter failed to demonstrate the myo-fascial herniation in our case. We therefore propose that real-time ultrasound scanning with dynamic maneuvers should be the first line of investigation to assess sports injuries in anatomically complex joints like the ankle.<\/jats:p>","DOI":"10.1007\/s40477-021-00572-0","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T18:20:09Z","timestamp":1614795609000},"page":"369-377","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Isolated partial tear of extensor digitorum longus tendon with overlying muscle herniation in acute ankle sports injury: role of high resolution musculoskeletal ultrasound"],"prefix":"10.1007","volume":"25","author":[{"given":"Jeena Bordoloi","family":"Deka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilim Kumar","family":"Deka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohit V.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9193-9309","authenticated-orcid":false,"given":"Chandra","family":"Bortolotto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdinando","family":"Draghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"key":"572_CR1","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s00068-003-1270-z","volume":"29","author":"H Pointinger","year":"2003","unstructured":"Pointinger H et al (2003) Rupture of the extensor digitorum longus muscle: additional finding in an ankle Sprain. European J Trauma 29:161\u2013163","journal-title":"European J Trauma"},{"key":"572_CR2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1148\/radiol.2017174038","volume":"285","author":"A Guermazi","year":"2017","unstructured":"Guermazi A et al (2017) Imaging of muscle injuries in sports medicine: sports imaging series. Radiology 285:3","journal-title":"Radiology"},{"key":"572_CR3","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.foot.2007.04.003","volume":"17","author":"K Hattori","year":"2007","unstructured":"Hattori K et al (2007) Closed rupture of the extensor digitorum longus tendon\u2014a case report and biochemical analysis of rupture mechanism. The Foot 17:220\u2013223","journal-title":"The Foot"},{"key":"572_CR4","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1177\/036354659702500110","volume":"25","author":"L Konradsen","year":"1997","unstructured":"Konradsen L et al (1997) Ankle inversion injuries. The role of the dynamic defense mechanism. Am J Sports Med 25:54\u201358","journal-title":"Am J Sports Med"},{"key":"572_CR5","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/S0190-9622(08)80009-6","volume":"22","author":"AC Harrington","year":"1990","unstructured":"Harrington AC, Mellette JR Jr (1990) Hernias of the anterior tibialis muscle: case report and review of the literature. J Am Acad Dermatol 22:123","journal-title":"J Am Acad Dermatol"},{"key":"572_CR6","doi-asserted-by":"publisher","first-page":"395","DOI":"10.2214\/ajr.180.2.1800395","volume":"180","author":"I Beggs","year":"2003","unstructured":"Beggs I (2003) Sonography of muscle hernias. Am J Roentgenol 180:395\u2013399","journal-title":"Am J Roentgenol"},{"key":"572_CR7","first-page":"332","volume":"44","author":"AS Hegde","year":"2014","unstructured":"Hegde AS (2014) An interesting case of post traumatic tibialis anterior muscle herniation. Kathmandu University Med J 44:332\u2013334","journal-title":"Kathmandu University Med J"},{"key":"572_CR8","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1002\/mus.26639","volume":"60","author":"MD Olivia Tong","year":"2019","unstructured":"Olivia Tong MD et al (2019) Nerve entrapments related to muscle herniation. Muscle Nerve 60:424\u2013428","journal-title":"Muscle Nerve"},{"key":"572_CR9","doi-asserted-by":"publisher","first-page":"2174","DOI":"10.1177\/0363546513493598","volume":"41","author":"EK Dennis","year":"2013","unstructured":"Dennis EK et al (2013) Diagnosis and management of symptomatic muscle herniation of the extremities: a retrospective review. AM J Sports Med 41:2174\u20132180","journal-title":"AM J Sports Med"},{"key":"572_CR10","doi-asserted-by":"publisher","DOI":"10.14366\/usg.18013","author":"BM Nathaniel","year":"2018","unstructured":"Nathaniel BM et al (2018) Musculoskeletal ultrasonography: athletic injuries of the lower extremity. Ultrasonography. https:\/\/doi.org\/10.14366\/usg.18013","journal-title":"Ultrasonography"},{"key":"572_CR11","first-page":"52","volume":"30","author":"JFJ D\u00edaz","year":"2013","unstructured":"D\u00edaz JFJ et al (2013) Ecograf\u00eda de la hernia muscular muscle hernia ultrasound, Rinc\u00f3n de la imagen. Arch Med Deporte 30:52\u201354","journal-title":"Arch Med Deporte"},{"key":"572_CR12","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1177\/229255031302100408","volume":"21","author":"T Jesse","year":"2013","unstructured":"Jesse T, Nguyen MD et al (2013) Muscle hernias of the leg: a case report and comprehensive review of Literature. Can J Plast Surg 21:243\u2013247","journal-title":"Can J Plast Surg"},{"key":"572_CR13","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/1754-9493-6-5","volume":"6","author":"B Greta","year":"2012","unstructured":"Greta B et al (2012) Gastrocnemius muscle herniation as a rare differential diagnosis of ankle sprain: case report and review of the literature. Patient Safety Surg 6:5","journal-title":"Patient Safety Surg"},{"key":"572_CR14","first-page":"1","volume":"00","author":"L Kimberly","year":"2019","unstructured":"Kimberly L, Clinite MD et al (2019) Tibialis anterior muscle herniation in adolescents: a case series and review of the literature. Pediatr Dermatol 00:1\u20134","journal-title":"Pediatr Dermatol"},{"key":"572_CR15","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1016\/0007-1226(94)90076-0","volume":"47","author":"A Marques","year":"1994","unstructured":"Marques A, Brenda E, Amarante TJ (1994) Bilateral multiple muscle hernias of the leg repaired with Marlex mesh. Brit J Plast Surg 47:444\u2013446","journal-title":"Brit J Plast Surg"},{"key":"572_CR16","unstructured":"Fernando JD, et al. Classification and US management of muscle injuries in sports. EFSUMB course book, 2nd edition."},{"key":"572_CR17","doi-asserted-by":"publisher","first-page":"137","DOI":"10.15557\/JoU.2019.0020","volume":"77","author":"EE Drakonaki","year":"2019","unstructured":"Drakonaki EE et al (2019) High resolution ultrasound for imaging complications of muscle injury: is there an additional role for elastography? J Ultrasonogr 77:137\u2013144","journal-title":"J Ultrasonogr"},{"key":"572_CR18","doi-asserted-by":"publisher","first-page":"357","DOI":"10.7863\/jum.1995.14.5.357","volume":"14","author":"S Bianchi","year":"1995","unstructured":"Bianchi S et al (1995) Sonographic examination of muscle herniation. J Ultrasound Med 14:357\u2013360","journal-title":"J Ultrasound Med"},{"key":"572_CR19","volume-title":"Muscle herniation of the peroneus longus muscle triggering superficial fibular nerve paresthesia. Sonography","author":"FT Annabel","year":"2018","unstructured":"Annabel FT et al (2018) Muscle herniation of the peroneus longus muscle triggering superficial fibular nerve paresthesia. Sonography. Wiley, New York"}],"container-title":["Journal of Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40477-021-00572-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40477-021-00572-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40477-021-00572-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T15:20:47Z","timestamp":1653751247000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40477-021-00572-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,3]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["572"],"URL":"https:\/\/doi.org\/10.1007\/s40477-021-00572-0","relation":{},"ISSN":["1876-7931"],"issn-type":[{"value":"1876-7931","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,3]]},"assertion":[{"value":"30 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.\u201d","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from the individual included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"CB is a consultant for Bracco Imaging and Doc. Congress. The other authors has nothing to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}}]}}