Surgical Anatomy of the Proximal Release of the Gastrocnemius: A Cadaveric Study

Hamilton, Paul D.; Brown, Matthew; Ferguson, Neil; Adebibe, Miriam; Maggs, Joanna; Solan, Matthew

doi:10.3113/fai.2009.1202

Cited by 33 publications

(17 citation statements)

References 7 publications

(7 reference statements)

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“…The medial head was found to be much larger in both the muscular and aponeurotic components than the lateral head in all specimens. On average the cross-sectional area of the aponeurosis of the medial head of gastrocnemius was 2.4 times the crosssectional area of the aponeurosis of the lateral head [21]. The medial head is supposed to account for most of the gastrocnemius tightness.…”

Section: Discussionmentioning

confidence: 94%

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Monteagudo

Maceira

García-Virto

et al. 2013

International Orthopaedics (SICOT)

102

143

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Purpose The purpose of this study was to compare results of partial proximal fasciotomy (PPF) with proximal medial gastrocnemius release (PMGR) in the treatment of chronic plantar fasciitis (CPF). Method This retrospective study compares 30 patients with CPF that underwent PPF with 30 that underwent isolated PMGR. Both groups were matched in terms of previous treatments and time from onset of symptoms to surgery. Different standardised evaluation scales (VAS, Likert, AOFASh) were used to evaluate results. Results Plantar fasciotomy had satisfactory results in just 60 % of patients, with an average ten weeks needed to resume work and sports. Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at three weeks on average. Functional and pain scores were considerably better for PMGR and fewer complications registered. Conclusion In our series, isolated PMGR is a simple and reliable procedure to treat patients with CPF. It provides far better results than conventional fasciotomy with less morbidity and better patient satisfaction, and thus has become our surgical procedure of choice in recalcitrant CPF.

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Section: Discussionmentioning

confidence: 94%

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Monteagudo

Maceira

García-Virto

et al. 2013

International Orthopaedics (SICOT)

102

143

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“…Compared with the lateral head of the gastrocnemius, the medial head is wider, thicker and tighter, and with less complicated and variable neurovascular structures nearby [18,21]. A recent anatomic study revealed that the superficial part of the Achilles tendon is mainly from the medial head of the gastrocnemius and has continuity with the plantar fascia [22].…”

Section: Discussionmentioning

confidence: 96%

Comparison of the efficacy of three isolated gastrocnemius recession procedures in a cadaveric model of gastrocnemius tightness

et al. 2015

International Orthopaedics (SICOT)

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“…The approach is safe with low risk of neurological complication, whereas approaches to the lateral head must be used with care due to the variable anatomy of nerves in that area. 41 Another benefit of PMGR is that only the tight aponeurosis is released, leaving the main muscle belly intact. The procedure does require the patient to be positioned either prone or 'lazy-lateral', but is conveniently performed as a day case with local anaesthetic and light sedation.…”

Section: Gastrocnemius Lengthening Procedures For Recalcitrantmentioning

confidence: 99%

Posterior heel pain

Jukes¹,

Scott²,

Solan³

2020

Orthopaedics and Trauma

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Heel pain at or around the insertion of the Achilles tendon is a common presenting complaint affecting both young, active patients and those who are older and more sedentary. So-called posterior heel pain is often presumed to run a self-limiting course over a few months, resolving with rest, weight loss and stretching exercises. However, a small number of patients suffer with increasingly disabling symptoms that are refractory to this regimen. Posterior heel pain is classically split into insertional and non-insertional types, and in order to select an appropriate management plan the diagnosis must be precise. Further management without a clear understanding of the pathology is potentially detrimental to the patient. This review aims to provide a structured approach to careful clinical and radiological assessment and treatment of this condition.

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Surgical Anatomy of the Proximal Release of the Gastrocnemius: A Cadaveric Study

Abstract: We conclude that the approach to the medial head of gastrocnemius is free from neurovascular structures and that release of the medial head alone may be efficacious in the operative treatment of isolated gastrocnemius tightness that has failed non-operative treatment.

Cited by 33 publications

References 7 publications

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Comparison of the efficacy of three isolated gastrocnemius recession procedures in a cadaveric model of gastrocnemius tightness

Posterior heel pain

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