Simple Two-Portal Technique for Endoscopic Gastrocnemius Recession: Clinical Tip

Yeap, Ewe Juan; Shamsul, Shams Amir; Chong, Keen Wai; Sands, Andrew K.

doi:10.3113/fai.2011.0830

Cited by 13 publications

(4 citation statements)

References 18 publications

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“…Several studies reported the overall satisfactory results of endoscopic release of the gastrocnemius tendon [28,[30][31][32][33][34][35][36][37][38]. Tashjian investigated the technique and found that incomplete release could occur due to the anatomy of a tendon that has both edges curved anteriorly [39].…”

Section: Resultsmentioning

confidence: 99%

Endoscopic surgery of the Achilles tendon

Phisitkul

2012

Curr Rev Musculoskelet Med

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The value of endoscopic surgery as a minimally invasive treatment is well recognized and includes less perioperative pain, less scarring, minimal blood loss, and faster recovery. While open surgery on the Achilles tendon is notorious for wound complications, the tendon is situated in a well-formed tunnel allowing surgical procedures to be performed endoscopically. Various endoscopic techniques have been successfully applied to the treatment of non-insertional Achilles tendinopathy, Haglund's syndrome, Achilles tendon rupture, and equinus contracture. Although the evidence is currently limited, results from authors acquainted with the techniques have been encouraging. Both an understanding of surgical anatomy of the hindfoot and familiarity in soft tissue endoscopy are required to achieve successful outcomes while minimizing complications.

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Section: Resultsmentioning

confidence: 99%

Endoscopic surgery of the Achilles tendon

Phisitkul

2012

Curr Rev Musculoskelet Med

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“…Endoscopic gastrocnemius aponeurosis recessions allow release of the gastrocnemius aponeurosis under arthroscopic visualization through small portal wounds. The reported techniques target the exposed inferior portion of the aponeurosis that is not directly covered by muscle [ 2 , 3 , 16 - 26 ]. Different surface landmarks including the distal border of the gastrocnemius muscle [ 22 , 23 ], the fibula length [ 30 ] and the medial malleolus [ 22 ] have been used to locate the muscle void portion of the gastrocnemius aponeurosis.…”

Section: Discussionmentioning

confidence: 99%

“…Open gastrocnemius recession can be at either the gastrocnemius aponeurosis distal to the gastrocnemius muscle attachment [ 8 - 11 ] or at the anterior surface of the muscle bound portion of the gastrocnemius aponeurosis [ 1 , 6 , 12 - 15 ]. Endoscopic gastrocnemius recessions have been developed recently and reported to have fewer complications and better cosmetic outcome [ 2 , 3 , 16 - 26 ]. They have been used as an adjunctive treatment of posterior tibial tendon dysfunction, forefoot nerve entrapment, metatarsalgia, refractory Achilles tendinopathy, cerebral palsy and pediatric pes planovalgus [ 16 , 18 - 20 , 27 - 29 ].…”

Section: Introductionmentioning

confidence: 99%

Cadaveric Study of the Junction Point Where the Gastrocnemius Aponeurosis Joins the Soleus Aponeurosis

Lui¹,

Mak²

2017

TOORTHJ

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Purpose:To study the location of the junction point where the gastrocnemius aponeurosis joins the soleus aponeurosis to form the Achilles tendon.Methods:Twelve lower limb specimens were used. The distance between the medial tibial plateau and the superior border of the posterior calcaneal tubercle (A) was measured and the distances of the junction point to the superior border of the posterior calcaneal tubercle (B) were measured.Result:The ratio B/A averaged 0.45. The gastrocnemius muscle reached or extended beyond the junction point in eight specimens (67%). The average distance from the lowest border of the muscle to the junction point was 0±12mm (-25-25).Conclusion:There are great anatomical variations of the gastrocnemius insertion. Resection of muscle bound portion of the gastrocnemius aponeurosis is a more appropriate approach of endoscopic gastrocnemius aponeurosis recession.Clinical Relevance:This report suggests that resection of muscle bound portion rather than the muscle void portion of the gastrocnemius aponeurosis is a more appropriate approach of endoscopic gastrocnemius aponeurosis recession.

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“…In addition, the inflamed retrocalcaneal bursa is usually removed with a rongeur, and the bony prominence at the posterosuperior aspect of the calcaneum is osteotomised prior to reattachment of the Achilles tendon ( Figure 1). The procedure was done with or without endoscopic gastrocnemius release depending on whether there was gastrocnemius equinus contracture 11 .…”

Section: Methodsmentioning

confidence: 99%