Rupture of the gastrocnemius muscle is an uncommon injury, with most cases
occurring in athletically active individuals. The presentation of a gastroc
nemius rupture is the acute onset of calf pain and subsequent ecchymosis. M
ost of these injuries can be treated symptomatically with good results. We
present an unusual case of gastrocnemius muscle tear complicated by acute c
ompartment syndrome. Physicians need to be aware of this potentially devast
ating complication of gastrocnemius rupture.