EGR EGR

ENDOSCOPIC ENDOSCOPIC GASTROCNEMIUS GASTROCNEMIUS

RECESSUION RECESSUION

EQUINUS DEFORMITYEQUINUS DEFORMITY

Equinus is probably the mostunrecognized, and untreatedpathological condition affectingthe human lower extremity.

SymptomsSymptoms

Foot fatigueLeg and arch painNight crampsWalking intemperanceAthletic abstinenceSedentary hobby pursuitAbnormal shoe wear

EGR Logistical SequenceEGR Logistical Sequence

ASSESS EQUINUS

Four ClassificationsFour Classifications

Gastrocnemius EquinusGastrocnemius-SolealOsseous EquinusPseudo Equinus

Gastrocnemius-Soleal EquinusGastrocnemius-Soleal Equinus

20 degree increase in dorsiflexion

when the knee is flexed

from what was available when extended,

but less than 10 degrees of increase.

EGR Technique

InstrumentationInstrumentation

Endoscope

Avoid the Sural NerveAvoid the Sural Nerve

The IncisionThe Incision

DissectionDissection

The deep fascia is identified and opened allowing entrance of the cannula

Cannula InsertionCannula Insertion

The EndoscopeThe Endoscope

The RecessionThe Recession

Post-op

AFO Boot

EGR INCIDENTALSEGR INCIDENTALS

Schedule one foot at a time

Allow crutches as needed

(Adjunctive procedures if indicated)