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How do you differentiate a calf tear from a ruptured Baker’s cyst on #ultrasound? 👉The simplest way to tell the difference in the #sonographic appearance of these two findings within the #calf is that the fluid collection from a ruptured Baker’s cyst typically lies superficial to the #gastrocnemius muscle in the subcutaneous #fat layer, whereas a calf tear lies deep to the #fascia that lies between the fat and #muscle layer. It is possible for a Baker’s cyst to extend into the muscle itself, but it is very rare. Sometimes you may be able to track the fluid from the calf back to the #cyst cavity in the popliteal fossa by using extended field of view if the cyst has only partially ruptured, but it is not possible when the cyst has completely #ruptured and all of the fluid from the cyst has already leaked into the calf. You cannot judge by the #echotexture of the #fluid collection itself because either may appear simple and #anechoic or may contain internal #echoes from #hemorrhage. Clinically, a calf #tear usually presents as a sudden pain and pop in the calf while a ruptured #bakers_cyst often causes #pain in the posterior #knee. Both are usually associated with physical #activity and may cause calf #swelling. To master #mskultrasound and elevate your career, come to one of my upcoming hands-on #msk courses. Visit my website www.learnmsksono.com to learn more. #tuesdaytipswithjamie #cme #cmecourse #ultrasoundcourse #conference #ultrasoundtech #sonography #radiology #sportsmedicine #ortho #diagnosis #like #share #subscribe