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EGR EGR ENDOSCOPIC ENDOSCOPIC GASTROCNEMIUS GASTROCNEMIUS RECESSUION RECESSUION

EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION

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Page 1: EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION

EGR EGR

ENDOSCOPIC ENDOSCOPIC GASTROCNEMIUS GASTROCNEMIUS

RECESSUION RECESSUION

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EQUINUS DEFORMITYEQUINUS DEFORMITY

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

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SymptomsSymptoms

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

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EGR Logistical SequenceEGR Logistical Sequence

ASSESS EQUINUS

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Four ClassificationsFour Classifications

Gastrocnemius EquinusGastrocnemius-SolealOsseous EquinusPseudo Equinus

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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.

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EGR Technique

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InstrumentationInstrumentation

Endoscope

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Avoid the Sural NerveAvoid the Sural Nerve

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The IncisionThe Incision

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DissectionDissection

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

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Cannula InsertionCannula Insertion

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The EndoscopeThe Endoscope

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The RecessionThe Recession

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Post-op

AFO Boot

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EGR INCIDENTALSEGR INCIDENTALS

Schedule one foot at a time

Allow crutches as needed

(Adjunctive procedures if indicated)