Evidence map›Paper›PMID 41385031›Full record

ReviewSports medicine - open2025

Calf Strains in Athletes: A Narrative Review of Management, Injury Grading, and Return to Sport.

Robert Pagan-Rosado, Wesley Troyer, Raul Rosario-Concepcion, Brandon Feaster, Sebastian Encalada, Brett Kindle, Carles Pedret

Abstract readReview
In one paragraph

Review in Sports medicine - open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Epidemiology, Work-Up, and Management of Common Track and Field Injuries.Current reviews in musculoskeletal medicine · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Robert Pagan-RosadoAndrews Institute for Orthopedics and Sports Medicine, 3527 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561, USA. rpaganrosado@gmail.com.ORCID http://orcid.org/0000-0002-3491-4762
Wesley TroyerDepartment of Physical Medicine and Rehabilitation, Division of Sports Medicine, Mayo Clinic, Jacksonville, FL, USA.
Raul Rosario-ConcepcionDivision of Physical Medicine and Rehabilitation, Baptist Health South Florida, Miami, FL, USA.
Brandon FeasterDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Sebastian EncaladaDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.
Brett KindleAndrews Institute for Orthopedics and Sports Medicine, 3527 Gulf Breeze Pkwy, Gulf Breeze, FL, 32561, USA.
Carles PedretSports Medicine and Imaging Department, Clinica Diagonal, Esplugues de Llobregat, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCalf strains are common in sports like football, rugby, and tennis, with high recurrence rates during competition. Despite their frequency, there are no universally accepted guidelines for managing these injuries based on grading systems or imaging modalities. This review aims to evaluate the role of imaging and injury grading in predicting return to sport following a calf strain.

methodsA systematic search was conducted to assess the role of imaging and grading in predicting return to sport in athletes with calf strains. A search of Scopus and PubMed in June 2024 identified relevant studies using terms related to calf strains, imaging, and return to sport. Eligible studies involved human participants, used imaging for diagnosing or grading calf injuries, and assessed return to play outcomes. Studies were excluded if they involved animals, lacked imaging, or did not report relevant outcomes. The screening was done by a team of investigators based on predefined criteria.

resultsThe review identified that imaging, particularly ultrasound and MRI, offers valuable information for grading calf strains and predicting recovery timelines. Different grading systems correlated with clinical outcomes, but no single modality or grading system was universally superior. Clinical assessments remained essential in return to play decisions.

conclusionsImaging modalities, along with injury grading, provide useful insights into calf strain severity and recovery. However, these tools should complement clinical assessments, which are the gold standard for return to sport decisions. An integrative approach combining imaging and clinical evaluation is recommended to optimize return to sport protocols. Further standardization of grading systems and imaging protocols may improve prediction accuracy and treatment outcomes for calf strains.

Indexed as

Calf strainGradingMRIRehabilitationReturn to sportUltrasound

Identifiers

PMID41385031
PMCPMC12701110

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.