Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Musculotendinous equinus deformity correction: gastrocnemius or gastrosoleus release

Review article, 58 - 75
doi: 10.11138/mltj/2018.8.1.058
Tag this article
Full text PDF
Introduction: Equinus is a condition in which the upward bending motion of the ankle joint is limited.
Someone with equinus lacks the flexibility to bring the top of the foot toward the front of the leg. Equinus can occur in one or both feet. There are several possible causes for the limited range of ankle motion, this deformity of the foot may result from either musculotendinous forms, osseous forms, or combined forms. Congenital deformities and neuromuscular diseases are the main causes of musculotendinous equinus, and they will be the subject of our review.
Material and methods: Gastrocnemius release: An isolated gastrocnemius contracture (IGC) is often encountered in patients with foot and ankle pathology.
Gastrocnemius contracture has been reported as an isolated entity as well as a problem associated with several forefoot, midfoot, or hindfoot pathologies. The gastrocnemius recession is one the oldest orthopaedic procedures described in the literature. This procedure has been performed for many years for contracture associated with pediatric neuromuscular disorders, and now it is an effective and predictable method for the treatment of spastic and non-spastic gastrocnemius equinus deformities. Over the past decade, there has been an increase in use of this procedure in the adult population. In general, surgical procedures for the correction of any form of ankle equinus are more effective, with better long-term results, in patients who are more physically active. Physical activity
and state of health help to determine the surgical procedure and may indeed contraindicate surgical intervention. Once surgical correction has been elected, a surgical procedure aimed at correcting the specific condition may be chosen.
Gastrosoleus release: Many surgical procedures have been described for the correction of a gastrosoleus equinus deformity. Most of these techniques have been oriented to elongation of the Achilles tendon, but there are other kinds of operations, like selective neurectomy and anterior advancement of the Achilles tendon, for the spastic forms of gastrosoleus equinus only. A tenotomy of the Achilles tendon may be considered for correction of either spastic or non-spastic gastrocnemius- soleus contractures, but it should generally not be used for the correction of a gastrocnemius equinus deformity.
Discussion: Surgical procedures for the correction of equinus deformity by lengthening of the gastrocnemius or the gastrocnemius-soleus complex vary in terms of selectivity, stability, and range of correction.
Procedures for the correction of musculotendinous equinus deformity have different anatomical, biomechanical and clinical characteristics.
Level of evidence: Ia.

Vol. 8 (No. 4) 2018 October/December

  1. Chondrocalcinosis: a morphofunctional study of crystal deposition in mechanically stressed shoulder soft tissues
    Burini D., Salucci S., Fardetti F., Beccarini A., Calvisi V., Gobbi P., Falcieri E., Curzi D.
    doi: 10.11138/mltj/2018.8.4.465
  2. Functional hyper-extension deficit of the knee and patellar dimple sign in patellofemoral pain syndrome. A preliminary study
    Kaya D., Aksahin E., Doral M.N.
    doi: 10.11138/mltj/2018.8.4.473
  3. The triple F knot: a sliding-locking arthroscopic knot
    Spezia F., Franceschetti E., Franceschi F., Maffulli N., Oliva F.
    doi: 10.11138/mltj/2018.8.4.477
  4. MRI scans do not accurately predict hamstring graft diameter for ACL reconstruction
    Ricci P., Cullen C., Imalingat H., Sergeant J.C., Jain N.
    doi: 10.11138/mltj/2018.8.4.482
  5. Treating Haglund's Deformity with percutaneous Achilles tendon decompression: a case series
    Sergio F., Catani O., Fusini F., Langella F., Cautiero G., Ponzo I., Zanchini F.
    doi: 10.11138/mltj/2018.8.4.488
  6. Structured training volume in early adolescence: a risk factor for femoroacetabular impingement?
    Mullins K., Hanlon M., Carton P.
    doi: 10.11138/mltj/2018.8.4.495
  7. Relationship between anthropometric characteristics and playing position in youth soccer
    Notarnicola A., Maccagnano G., Chierico A., Tafuri S., Moretti B.
    doi: 10.11138/mltj/2018.8.4.502
  8. Posture and scapular dyskinesis in young bowed string instrumental musicians
    Frizziero A., Gasparre G., Corvo S., Gamberini J., Finotti P., Masiero S., Maffulli N.
    doi: 10.11138/mltj/2018.8.4.507
  9. Shoulder external/internal rotation peak torques ratio side-asymmetry, mean work and power ratios balance worsening due to different fatigue resistance of the rotator muscles in male handball players
    Pontaga I.
    doi: 10.11138/mltj/2018.8.4.513
  10. Does TRX training induce similar effects to crossfit? Study on the variation of body fat mass, endurance and explosive force
    Notarnicola A., Salatino G., Napoletano P., Monno A., Moretti B., Tafuri S.
    doi: 10.11138/mltj/2018.8.4.520
  11. The therapeutic effects of manipulation technique on sacroiliac joint dysfunction in young women
    Ashraf V., Shadmehr A., Moghadam B.A., Olyaei G., Reza Hadian M., Khazaeipour Z.
    doi: 10.11138/mltj/2018.8.4.526
  12. Changes of joint position sense in responses to upper trapezius muscle fatigue in subclinical myofascial pain syndrome participants versus healthy control
    Roya M., Gholam Reza O., Azadeh S., Reza H.M., Saeed T.M.
    doi: 10.11138/mltj/2018.8.4.534
  13. Extruded collagen fibres and biphasic collagen sponge for rotator cuff tendon repair application: an ovine in vitro study
    Zafar A., Rushton N.
    doi: 10.11138/mltj/2018.8.4.544
  14. The comparison of dynamic postural control and muscle activity in time domain in athletes with and without chronic ankle instability
    Fereydounnia S., Shadmehr A., Talebian Moghadam S., Olyaei G., Jalaie S., Shiravi Z., Salemi S.
    doi: 10.11138/mltj/2018.8.4.552
Last Viewed articles: la lista degli ultimi x visitati.
  1. Musculotendinous equinus deformity correction: gastrocnemius or gastrosoleus release
    De Luna V., Oliva F., Lo Bue G., Tudisco C., Farsetti P.
    doi: 10.11138/mltj/2018.8.1.058