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
Abstract
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. 1) 2018 January/March

  1. Hyperglycemia induces osteogenic differentiation of bone marrow derived stem cells: an in vitro study
    Giai Via A., McCarthy M.B., Francke M., Oliva F., Mazzocca A.D., Maffulli N.
    doi: 10.11138/mltj/2018.8.1.001
  2. Identification of differentially expressed micro-RNA in rotator cuff tendinopathy
    Hall K.E., Sarkissian E.J., Sharpe O., Robinson W.H., Abrams G.D.
    doi: 10.11138/mltj/2018.8.1.008
  3. Are COL1A1 gene polymorphisms associated with anterior cruciate ligament tear in the Indian population? Results of a preliminary case-control study
    Prabhakar S., John R., Dhillon M.S., Anand A., Sharma K., Bmmidi S.
    doi: 10.11138/mltj/2018.8.1.015
  4. MRI evaluation of anterolateral ligament tears in knee injury with anterior cruciate ligament rupture
    Hooda A., Dhillon M.S., Prabhakar S., Prakash M., John R., Kanwat H.
    doi: 10.11138/mltj/2018.8.1.023
  5. Effect of post-activation potentiation induced by one, two or three half-squats on repeated sprint acceleration performance
    Rouissi M., Turki O., Bragazzi N.L., Owen A., Haddad M., Chamari K., Chtara M.
    doi: 10.11138/mltj/2018.8.1.028
  6. Acute effects of stretching duration on sprint performance of adolescent football players
    Iatridou G., Dionyssiotis Y., Papathanasiou J., Kapetanakis S., Galitsanos S.
    doi: 10.11138/mltj/2018.8.1.037
  7. The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study
    Atesok K., MacDonald P., Leiter J., McRae S., Singh M., Stranges G., Old J.
    doi: 10.11138/mltj/2018.8.1.043
  8. Arthroscopic versus open Latarjet in the treatment of recurrent anterior shoulder instability: a prospective study
    Savo A., Lanzetti R.M., Topa D., Campagna V., Pulcinelli F., Spoliti M.
    doi: 10.11138/mltj/2018.8.1.051
  9. 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
  10. Sex-related differences in plantarflexor function during repeated stretch-shortening cycle loading
    Furlong L.-A. M, Harrison A.J.
    doi: 10.11138/mltj/2018.8.1.076
  11. Patellar and quadriceps tendon abnormalities in obese patients with knee osteoarthritis: a preliminary ultrasonographic study
    Benedetti M.G., Frizziero A., Affinito D., Cavazzuti L., Bonfiglioli Stagni S., Galletti S., Catani F., Maffulli N.
    doi: 10.11138/mltj/2018.8.1.085
  12. A novel integrative approach to improve the quality of life by reducing pain and kinesiophobia in patients undergoing TKA: the IARA Model
    Padovan A.M., Oprandi G., Padulo J., Bruno C., Isoardi M., Gulotta F., Kuvačić G., De Giorgio A.
    doi: 10.11138/mltj/2018.8.1.093
  13. Effectiveness of yoga combined with back school program on anxiety, kinesiophobia and pain in people with non-specific chronic low back pain: a prospective randomized trial
    De Giorgio A., Padulo J., Kuvačić G.
    doi: 10.11138/mltj/2018.8.1.104
  14. Lower limb strength, but not sensorial integration, explains the age-associated postural control impairment
    Andrade H.B., Costa S.M., Pirôpo U.S., Schettino L., Casotti C.A., Pereira R.
    doi: 10.11138/mltj/2018.8.1.113
  15. Minimally invasive release of plantar fascia. A clinical retrospective study
    Poutoglidou F., Papadopoulos A., Kalinderis A., Koukos A.
    doi: 10.11138/mltj/2018.8.1.118
  16. Prognosis of conservative treatment in individuals with temporomandibular disorders and tinnitus: a systematic review
    Feitoza C.C., de Lemos Menezes P.
    doi: 10.11138/mltj/2018.8.1.123
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
credits