Treatment of recalcitrant foot pain with gastrocnemius muscle lengthening

Current Orthopaedic Practice

Volumn 21, Issue 3, 2010, Pages 251-257

  Anderson, John G ^a   Habbu, Rohan A ^a   Bohay, Donald R ^a  

^a MICHIGAN STATE UNIVERSITY   (United States)

Author keywords

Achilles pain; Foot pain; Gastrocnemius lengthening; Plantar fascitis

Indexed keywords

ACHILLES TENDINITIS; ACHILLES TENDON; ANATOMY; BIOMECHANICS; CHRONIC PAIN; CLINICAL TRIAL; DIABETIC FOOT; DORSIFLEXION; FOOT PAIN; GAIT; GASTROCNEMIUS MUSCLE; GASTROCNEMIUS MUSCLE LENGTHENING; HUMAN; MUSCLE CONTRACTURE; MUSCLE LENGTH; MUSCLE STRENGTH; MUSCLE STRETCHING; MUSCLE WEAKNESS; NERVE INJURY; PATIENT SATISFACTION; PLANTAR FASCIITIS; PLANTAR FLEXION WEAKNESS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RECALCITRANT FOOT PAIN; REVIEW; SUBTALAR JOINT; SURAL NERVE; WEIGHT BEARING;

EID: 77952968742     PISSN: 19407041     EISSN: 19417551     Source Type: Journal    
DOI: 10.1097/BCO.0b013e3181daadee     Document Type: Review

References (34)

1. Riddle DL, Pulisic M, Pidcoe P, et al. Risk factors for plantar fasciitis: A matched case-control study. J Bone Joint Surg. 2003; 85:872-877. Erratum in: J Bone Joint Surg. 2003; 85:1338
2. Root ML, Orien WP, Weed JH. Normal and abnormal function of the foot: Clinical biomechanics. Vol 2. Los Angeles: Clinical Biomechanics Corporation; 1977:174.
3. Downey MS, Banks AS. Gastrocnemius recession in the treatment of nonspastic ankle equinus: A retrospective study. J Am Podiatr Med Assoc. 1989; 79:159-174.
4. Digiovanni CW, Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin N Am. 2007; 12:363-379.
5. Vulpius O, Stoeffel A. Tenotmie der end schnen dermm. Gastrocnemius el soleus mittels rutschenlassens nach Vulpius. In: Enke F, ed. Orthopaedische Operationslehre. Stuttgart Germany: Ferdinard Enke; 1913:29-31.
6. Strayer LM. Recession of the gastrocnemius: An operation to relieve spastic contracture of the calf muscles. J Bone Joint Surg. 1950; 32:671-676.
7. Baker LD. A rational approach to the surgical needs of the cerebral palsy patient. J Bone Joint Surg. 1956; 38:313-323.
8. Banks HH, Green WT. The correction of equinus deformity in cerebral palsy. J Bone Joint Surg. 1958; 40:1359-1379.
9. Takahashi S, Shrestha A. The Vulpius procedure for correction of equinus deformity in patients with hemiplegia. J Bone Joint Surg. 2002; 84:978-980.
10. Yoshimoto M, Kura H, Matsuyama T, et al. Heel cord advancement combined with Vulpius lengthening of the gastrocnemius. Clin Orthop Relat Res. 2005; 434:213-216.
11. Lamm BM, Paley D, Herzenberg JE. Gastronemius soleus recession: A simpler more limited approach. J Am Podiatr Med Assoc. 2005; 95:18-25.
12. Blitz NM, Rush SM. The gastrocnemius intramuscular aponeurotic recession: A simplified method of gastrocnemius recession. J Foot Ankle Surg. 2007; 46:133-138.
13. McGlamry ED, Kitting RW. Equinus foot: An analysis of the etiology, pathology and treatment techniques. J Am Podiatr Med Assoc. 1973; 5:165-184.
14. Gentchos CE, Bohay DR, Anderson JG. Gastrocnemius recession as treatment for refractory Achilles tendinopathy: A case report. Foot Ankle Int. 2008; 29:620-623.
15. Maskill JD, Bohay DR, Anderson JG. Gastrocnemius recession to treat isolated foot pain. Accepted for publication in Foot Ankle Int. A retrospective study that evaluates the pain scores and satisfaction in patients with recalcitrant foot pain who have undergone gastrocnemius recession.
16. DiGiovanni CW, Kuo R, Tejwani N, et al. Isolated gastrocnemius tightness in patients without neurological impairment. J Bone Joint Surg. 2002; 84:962-970.
17. Aronow M, Diaz-Doran V, Sullivan RJ, et al. The effect of triceps surae contracture force on plantar foot pressure distribution. Foot and Ankle Int. 2006; 27:43-52.
18. Laborde JM. Neuropathic plantar forefoot ulcers treated with tendon lengthening. Foot Ankle Int. 2008; 29:378-384. Describes the role of tendon lengthening in the prevention of recurrence of plantar neuropathic ulcers. At a mean followup of 45 months, all except one ulcer healed in fewer than 2 months. Only three recurred, which healed with revision lengthening. A study that provides evidence towards the role of gastrocnemius contracture in altered foot biomechanics.
19. Mueller MJ, David RS, Hastings MK, et al. Effect of Achilles tendon lengthening on neuropathic plantar ulcers: A randomized clinical trial. J Bone Joint Surg. 2003; 85:1436-1445.
20. Nishimoto GS, Attinger CE, Cooper PS. Lengthening the Achilles tendon for the treatment of diabetic forefoot ulceration. Surgical Clinics N Am. 2003; 83:707-726.
21. Lin SS, Lee TH, Wapner KL. Plantar forefoot ulceration with equinus deformity of the ankle in diabetic patients: The effect of tendoAchilles lengthening and total contact casting. Orthopedics. 1996; 19:465-475.
22. Armstrong DG, Stacpoole-Shea S, Nguyen H, et al. Lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot. J Bone Joint Surg. 1999; 81:535-538.
23. Delp SL, Statler K, Carroll NC. Preserving plantarflexion strength after surgical treatment for contracture of the triceps surae: A computer simulation study. J Ortho Res. 1995; 13:96-104.
24. Chilvers M, Malicky ES, Anderson JG, et al. Heel overload associated with heel cord insufficiency. Foot Ankle Int. 2007; 28:687-689.
25. Costa ML, Donell ST, Tucker K. The long term outcome of tendon lengthening for chronic Achilles tendon pain. Foot Ankle Int. 2006; 27:672-676.
26. Sammarco GJ, Mahesh RB, Sammarco VJ, et al. The Effects of unilateral gastrocnemius recession. Foot Ankle Int. 2006; 7:508-511.
27. Adelman VR, Szczepanski JA, Adelman RP. Radiographic evaluation of endoscopic gastrocnemius recession, subtalar joint arthroereisis and flexor tendon transfer for surgical correction of stage 2 posterior tibial tendon dysfunction: A pilot study. J Foot Ankle Surg. 2008; 47:400-408. Describes the changes in radiographic variables after a combination of procedures for flatfoot.
28. Galli M, Cimolin V, Crivellini M, et al. Long term outcomes of isolated gastrocnemius fascia lengthening in children with cerebral palsy using gait analysis. J Pediatr Orthop B. 2009; 18:228-233.
29. Rush SM, Ford LA, Hamilton GA. Morbidity associated with high gastrocnemius recession: retrospective review of 126 cases. J Foot Ankle Surg. 2006; 45:156-160.
30. Trevino S, Gibbs M, Panchabhavi V. Evaluation of results of endoscopic gastrocnemius recession. Foot Ankle Int. 2005; 26:359-364.
31. DiDomenico LA, Adams HB, Garchar B. Endoscopic gastrocnemius recession for the treatment of gastrocnemius equinus. J Am Podiatr Med Assoc. 2005; 95:410-413.
32. Barrett SL, Jarvis J. Equinus deformity as a factor in forefoot nerve entrapment: Treatment with endoscopic gastrocnemius recession. J Am Podiatr Med Assoc. 2005; 97:171-172.
33. Saxena A, Widfeldt A. Endoscopic gastrocnemius recession. J Foot Ankle Surg. 2004; 43:202-206.
34. Adelman VR, Szczepanski JA, Adelman RP, et al. Endoscopic gastrocnemius recession: ultrasound guided analysis of length gained. Tech Foot Ankle Surg. 2009; 8:24-29. Excellent prospective study that measures the increase in gastrocnemius length achieved after endoscopic recession. The study measures this objectively by ultrasonography.