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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)
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