Advertisement

Endoscopic Gastrocnemius Recession

  • Lawrence A. DiDomenico
  • Thomas W. Groner
  • Jeffrey A. Szczepanski
  • Amol Saxena

Abstract

Ankle joint equinus has been well known in the medical literature as a major deforming force connected with an assortment of foot and ankle pathologies. Ankle equinus is defined as a limitation of dorsiflexion at the ankle joint.1,2 Limited ankle dorsiflexion has been defined as less than 3–15° with the knee extended.

Keywords

Ankle Joint Achilles Tendon Gastrocnemius Muscle Sural Nerve Hallux Valgus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Root ML, Orien WP, Weed JH. Normal and Abnormal Function of the Foot. Los Angeles: Clinical Biomechanics Corporation; 1977.Google Scholar
  2. 2.
    Downey MS, Banks AS. Gastrocnemius recession in the treatment of nonspastic ankle equinus: a retrospective study. J Am Podiatr Med Assoc. 1989;79:159-174.PubMedGoogle Scholar
  3. 3.
    Schweinberger MH, Roukis TS. Surgical correction of soft tissue ankle equinus contracture. Clin Podiatr Med Surg. 2008;25(4):571-585.PubMedCrossRefGoogle Scholar
  4. 4.
    Herzenberg JE, Lamm BM, Corwin C, et al. Isolated recession of the gastrocnemius muscle: the Baumann procedure. Foot Ankle Int. 2007;28(11):1154-1159.PubMedCrossRefGoogle Scholar
  5. 5.
    Saxena A, Kim W. Ankle dorsiflexion in adolescent athletes. J Am Podiatr Med Assoc. 2003;93(4):312-314.PubMedGoogle Scholar
  6. 6.
    Poul J, Tuma J, Bajerova J. Video-assisted tenotomy of the triceps muscle of the calf in cerebral palsy patients. Acta Chir Orthop Traumatol Cech. 2005;72(3):170-172.PubMedGoogle Scholar
  7. 7.
    Saxena A, Gollwitzer H, DiDomenico L, Widtfeldt A. Endoscopic Gastrocnemius Recession: a midterm report on 54 cases. Z Orthop Unfalllchir. 2007;145:1-6.Google Scholar
  8. 8.
    Saxena A, DiGiovanni C. Ankle equinus and the athlete. In: Maffulli N, Almekinders LC, eds. The Achilles Tendon. London: Springer; 2006.Google Scholar
  9. 9.
    Saxena A, DiGiovanni C. Endoscopic gastrocnemius recession. In: Scuderi G, Tria A, eds. Minimally Invasive Surgery in Orthopedics. New York: Springer; 2009:365-370.Google Scholar
  10. 10.
    Hansen ST. Tendon transfers and muscle balancing techniques. Achilles tendon lengthening. In: Hansen S, ed. Functional Reconstruction of the Foot and Ankle. Baltimore: Lippincott Williams & Wilkins; 2000:415-421.Google Scholar
  11. 11.
    Van Gils CC, Roeder B. The effect of ankle equinus upon the diabetic foot. Clin Podiatr Med Surg. 2002;19:391-409.PubMedCrossRefGoogle Scholar
  12. 12.
    Meszaros A, Caudell G. The surgical management of equinus in the adult acquired flatfoot. Clin Podiatr Med Surg. 2007;24(4):667-685.PubMedCrossRefGoogle Scholar
  13. 13.
    DiGiovanni CW, Kuo R, Tejwani N, et al. Isolated gastrocnemius tightness. J Bone Joint Surg Am. 2002;84(6):962-970.PubMedGoogle Scholar
  14. 14.
    Chang TJ. Surgical management of equinus. In: Master Techniques in Podiatric Surgery: The Foot and Ankle. Philadelphia: Lippincott and Wilkins; 2005:239-250.Google Scholar
  15. 15.
    Lavery LA, Armstrong DG, Boulton AJ. Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus. J Am Podiatr Med Assoc. 2002;92:479-482.PubMedGoogle Scholar
  16. 16.
    Sammarco GJ, Bagwe MR, Sammaro VJ, et al. The effects of unilateral gastrocsoleus recession. Foot Ankle Int. 2006;27(7):508-511.PubMedGoogle Scholar
  17. 17.
    Shiha AE, Khalifa AR, Assaghir YM, et al. Medial transport of the fibula using the Ilizarov device for reconstruction of a massive defect of the tibia in two children. J Bone Joint Surg Br. 2008;90(12):1627-1630.PubMedCrossRefGoogle Scholar
  18. 18.
    Downey MS, Banks AS, Downey MS, Martin DE. Comprehensive Textbook of Foot Surgery, vol. 1. 3rd ed. Philadelphia: Williams and Wilkins; 2001:715-760.Google Scholar
  19. 19.
    Grady J, Saxena A. Effect of stretching on the Gastrocnemius muscle. J Foot Ankle Surg. 1991;30(5):465-469.Google Scholar
  20. 20.
    Warwick R, Williams PL. Myology. In: Grays Anatomy. Philadelphia: WB Saunders; 1973:574-575.Google Scholar
  21. 21.
    Cummins EJ, Anson BJ, Carr BW, et al. The structure of the Achilles tendon in relation to orthopaedic surgery. Surg Gynecol Obstet. 1946;83:107-116.PubMedGoogle Scholar
  22. 22.
    Groner TW, DiDomenico LA. Midfoot osteotomies for the cavus foot. Clin Podiatr Med Surg. 2005;22:247-264.PubMedCrossRefGoogle Scholar
  23. 23.
    Sgarlatto TE, Morgan J, Shane HS, Frankenberg A. Tendo Achilles lengthening and its effect on foot disorders. J Am Podiatr Med Assoc. 1975;65:849-871.Google Scholar
  24. 24.
    Downey MS. Ankle equines. In: Mcglamry ED, ed. Comprehensive Textbook of Foot Surgery. Baltimore: Williams and Wilkins; 1992:687-730.Google Scholar
  25. 25.
    Hatt RN, Lamphier TA. Triple hemisection: a simplified procedure for lengthening the Achilles tendon. N Engl J Med. 1947;236:166-169.PubMedCrossRefGoogle Scholar
  26. 26.
    Haro AA, DiDomenico LA. Frontal plane guided percutaneous tendo achilles lengthening. J Foot Ankle Surg. 2007;46(1):55-61.PubMedCrossRefGoogle Scholar
  27. 27.
    Vulpius O, Stoffel A. Orthopaedische Operatioslehre. Stuttgart: Verlag von Ferdinand Enke; 1924.Google Scholar
  28. 28.
    Strayer LM. Recession of the gastrocnemius: an operation to relieve spastic contracture of the calf muscle. J Bone Joint Surg Am. 1950;32(3):671-676.PubMedGoogle Scholar
  29. 29.
    Baker LD. A rational approach to the surgical needs of the cerebral palsy patient. J Bone Joint Surg Am. 1956;56:313-323.Google Scholar
  30. 30.
    Fulp MJ, McGlamry ED. Gastrocnemius tendon recession: tongue in groove procedure to lengthen gastrocnemius tendon. J Am Podiatr Med Assoc. 1974;64:163-171.Google Scholar
  31. 31.
    DiDomenico LA, Adams HB, Garchar D. Endoscopic gastrocnemius recession for the treatment of gastrocnemius equinus. J Am Podiatr Med Assoc. 2005;95(4):410-413.PubMedGoogle Scholar
  32. 32.
    Saxena A, Widtfeldt A. Endoscopic gastrocnemius recession: preliminary report on 18 cases. J Foot Ankle Surg. 2004;43(5):302-306.PubMedCrossRefGoogle Scholar
  33. 33.
    Tashjian RZ, Appel AJ, Banerjee R, et al. Anatomic study of the gastrocnemius-soleus junction and its relationship to the sural nerve. Foot Ankle Int. 2003;24(6):473-476.PubMedGoogle Scholar
  34. 34.
    Trevino S, Gibbs M, Panchbhavi V. Evaluation of results of endoscopic gastrocnemius recession. Foot Ankle Int. 2005;26(5):359-364.PubMedGoogle Scholar
  35. 35.
    Pinney SJ, Hansen ST, Sangeorzan BT. The effect of ankle dorsiflexion of gastrocnemius recession. Foot Ankle Int. 2002;23(1):26-29.PubMedGoogle Scholar
  36. 36.
    Silfverskiold N. Reduction of the uncrossed two-joint muscles of the leg to one-joint muscles in spastic conditions. Acta Chir Scand. 1924;56:315-330.Google Scholar
  37. 37.
    Panchbhavi VK, Trevino SG. Endoscopic gastrocnemius recession. Tech Foot Ankle Surg. 2004;3(3):149-152.CrossRefGoogle Scholar
  38. 38.
    Delp SL, Statler K, Carroll NC. Preserving plantarflexion strength after surgical treatment for contracture of the ­triceps surae: a computer simulation study. J Orthop Res. 1995;13:96-104.PubMedCrossRefGoogle Scholar
  39. 39.
    Sgarlato TE. Medial gastrocnemius tenotomy to assist body posture balancing. J Foot Ankle Surg. 1998;37:607-613.CrossRefGoogle Scholar
  40. 40.
    Donley BG, Pinney ST, Holmes J. Gastrocnemius Recession. Techn Foot Ankle Surg. 2003;2(1):35-39.Google Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Lawrence A. DiDomenico
    • 1
  • Thomas W. Groner
    • 2
  • Jeffrey A. Szczepanski
    • 3
  • Amol Saxena
    • 4
  1. 1.Department of SurgeryNorthside Medical CenterYoungstownUSA
  2. 2.Department of SurgeryAnkle and Foot Care CenterAllianceUSA
  3. 3.PLLC, Munson Medical CenterTraverse CityUSA
  4. 4.Department of Sports MedicinePAFMG-Palo Alto DivisionPalo AltoUSA

Personalised recommendations