Grade 1 muscle and ligament tears usually heal with conservative treatment, with minimal long-term complications.[13]Kalimo H, Rantanen J, Jarvinen M. Muscle injuries in sports. Bailliere's Clin Orthop. 1997;2:1-24.[21]Noonan TJ, Garrett WE Jr. Muscle strain injury: diagnosis and treatment. J Am Acad Orthop Surg. 1999;7:262-269.
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Grade 2 tear has high risk of tear extension in the first 4 to 6 weeks, and hence rapid return to work is to be avoided.[13]Kalimo H, Rantanen J, Jarvinen M. Muscle injuries in sports. Bailliere's Clin Orthop. 1997;2:1-24.[21]Noonan TJ, Garrett WE Jr. Muscle strain injury: diagnosis and treatment. J Am Acad Orthop Surg. 1999;7:262-269.
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Grade 3 muscle tear can be associated with significant complications such as muscle atrophy, muscle fibrosis, heterotrophic ossification, and compartment syndrome. Grade 3 ligament tear can lead to chronic instability, pain, loss of function, and secondary degenerative changes in the joint regardless of the choice of treatment.[13]Kalimo H, Rantanen J, Jarvinen M. Muscle injuries in sports. Bailliere's Clin Orthop. 1997;2:1-24.[21]Noonan TJ, Garrett WE Jr. Muscle strain injury: diagnosis and treatment. J Am Acad Orthop Surg. 1999;7:262-269.
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[49]Lynch SA, Renström PA. Treatment of acute lateral ankle ligament rupture in the athlete. Conservative versus surgical treatment. Sports Med. 1999;27:61-71.
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