EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION
EQUINUS DEFORMITY Equinus is probably the most unrecognized, and untreated pathological condition affecting the human lower extremity.
Symptoms Foot fatigue Leg and arch pain Night cramps Walking intemperance Athletic abstinence Sedentary hobby pursuit Abnormal shoe wear
EGR Logistical Sequence ASSESS EQUINUS
Four Classifications Gastrocnemius Equinus Gastrocnemius-Soleal Osseous Equinus Pseudo Equinus
Gastrocnemius-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
Instrumentation Endoscope
Avoid the Sural Nerve
The Incision
Dissection The deep fascia is identified and opened allowing entrance of the cannula
Cannula Insertion
The Endoscope
The Recession
Post-op AFO Boot
EGR INCIDENTALS Schedule one foot at a time Allow crutches as needed (Adjunctive procedures if indicated)