1. EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION

2. EQUINUS DEFORMITY Equinus is probably the most unrecognized, and untreated pathological condition affecting the human lower extremity.

3. Symptoms Foot fatigue Leg and arch pain Night cramps Walking intemperance Athletic abstinence Sedentary hobby pursuit Abnormal shoe wear

4. EGR Logistical Sequence ASSESS EQUINUS

5. Four Classifications Gastrocnemius Equinus Gastrocnemius-Soleal Osseous Equinus Pseudo Equinus

6. 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.

10. EGR Technique

11. Instrumentation Endoscope

12. Avoid the Sural Nerve

13. The Incision

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

16. Cannula Insertion

19. The Endoscope

21. The Recession

25. Post-op AFO Boot

26. EGR INCIDENTALS Schedule one foot at a time Allow crutches as needed (Adjunctive procedures if indicated)