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Review Article| Volume 40, ISSUE 2, P247-260, April 2023

The Role of Equinus in Flatfoot Deformity

Published:December 28, 2022DOI:https://doi.org/10.1016/j.cpm.2022.11.002

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      References

        • Hentges M.J.
        • Moore K.R.
        • Catanzariti A.R.
        • et al.
        Procedure selection for the flexible adult acquired flatfoot deformity.
        Clin Podiatr Med Surg. 2014; 31: 363-379
        • Kaiser P.
        • Guss D.
        Surgical management of musculotendinous balance in the progressive collapsing foot deformity: the role of peroneal and gastrocnemius contracture.
        Foot Ankle Clin. 2021; 26: 559-575
        • Meszaros A.
        • Caudell G.
        The surgical management of equinus in the adult acquired flatfoot.
        Clin Podiatr Med Surg. 2007; 24: 667-viii
        • DeHeer P.A.
        Equinus and lengthening techniques.
        Clin Podiatr Med Surg. 2017; 34: 207-227
        • Aronow M.S.
        Triceps surae contractures associated with posterior tibial tendon dysfunction.
        Tech Orthopaedics. 2000; 15: 164-173
        • Pękala P.A.
        • Henry B.M.
        • Ochała A.
        • et al.
        The twisted structure of the Achilles tendon unraveled: a detailed quantitative and qualitative anatomical investigation.
        Scand J Med Sci Sports. 2017; 27: 1705-1715
        • DiGiovanni C.W.
        • Langer P.
        The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot.
        Foot Ankle Clin. 2007; 12: 363-viii
        • Inman V.T.
        • Ralston H.J.
        • Todd F.
        Human walking.
        Williams and Wilkins, Baltimore (MD)1981
        • Root M.L.
        • Orien W.P.
        • Weed J.H.
        Forces acting upon the foot during locomotion. normal and abnormal function of the foot: clinical biomechanics.
        Clin Biomech. 1977; 2
        • Barouk P.
        • Barouk L.S.
        Clinical diagnosis of gastrocnemius tightness.
        Foot Ankle Clin. 2014; 19: 659-667
        • Johanson M.
        • Baer J.
        • Hovermale H.
        • et al.
        Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion.
        J Athl Train. 2008; 43: 172-178
        • Norkin C.C.
        • White D.J.
        Measurement of joint motion: a guide to goniometry.
        FA Davis Company, Philadelphia1995
        • Cosby N.L.
        • Hertel J.
        Relationships between measures of posterior talar glide and ankle dorsiflexion range of motion.
        Athl Train Sports Health Care. 2011; 3: 76-85
        • Beazell J.R.
        • Grindstaff T.L.
        • Sauer L.D.
        • et al.
        Effects of a tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability.
        J Orthop Sports Phys Ther. 2012; 42: 125-134
        • Denegar C.R.
        • Hertel J.
        • Fonseca J.
        The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity.
        J Orthop Sports Phys Ther. 2002; 32: 166-173
        • Grindstaff T.L.
        • Beazell J.R.
        • Magrum E.M.
        • et al.
        Assessment of ankle dorsiflexion range of motion restriction.
        Athl Train Sports Health Care. 2009; 1: 1-2
        • Bennell K.L.
        • Talbot R.C.
        • Wajswelner H.
        • et al.
        Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion.
        Aust J Physiother. 1998; 44: 175-180
        • Hoch M.C.
        • McKeon P.O.
        Normative range of weight- bearing lunge test performance asymmetry in healthy adults.
        Man Ther. 2011; 16: 516-519
        • Vicenzino B.
        • Branjerdporn M.
        • Teys P.
        • et al.
        Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain.
        J Orthop Sports Phys Ther. 2006; 36: 464-471
        • Konor M.M.
        • Morton S.
        • Eckerson J.M.
        • et al.
        Reliability of three measures of ankle dorsiflexion range of motion.
        Int J Sports Phys Ther. 2012; 7: 279-287
        • Umans H.
        Ankle impingement syndromes.
        Semin Musculoskelet Radiol. 2002; 6: 133-139
        • LiMarzi G.M.
        • Khan O.
        • Shah Y.
        • et al.
        Imaging manifestations of ankle impingement syndromes.
        Radiol Clin North Am. 2018; 56: 893-916
        • Kingma J.J.
        • Mechielsen J.
        • Cobben L.P.J.
        • et al.
        Radiological assessment of the maximal dorsiflexion position of the ankle in healthy persons.
        JSM Foot Ankle. 2017; 2: 1032
        • Dayton P.
        • Feilmeier M.
        • Parker K.
        • et al.
        Experimental comparison of the clinical measurement of ankle joint dorsiflexion and radiographic tibiotalar position.
        J Foot Ankle Surg. 2017; 56: 1036-1040
        • Young R.
        • Nix S.
        • Wholohan A.
        • et al.
        Interventions for increasing ankle joint dorsiflexion: a systematic review and meta-analysis.
        J Foot Ankle Res. 2013; 6: 46
        • Grady J.F.
        • Saxena A.
        Effects of stretching the gastrocnemius muscle.
        J Foot Surg. 1991; 30: 465-469
        • Macklin K.
        • Healy A.
        • Chockalingam N.
        The effect of calf muscle stretching exercises on ankle joint dorsiflexion and dynamic foot pressures, force and related temporal parameters.
        Foot. 2012; 22: 10-17
        • Maeda N.
        • Urabe Y.
        • Tsutsumi S.
        • et al.
        The acute effects of static and cyclic stretching on muscle stiffness and hardness of medial gastrocnemius muscle.
        J Sports Sci Med. 2017; 16: 514-520
        • Anderson B.
        • Burke E.R.
        Scientific, medical, and practical aspects of stretching.
        Clin Sports Med. 1991; 10: 63-86
        • Johanson M.A.
        • Dearment A.
        • Hines K.
        • et al.
        The effect of subtalar joint position on dorsiflexion of the ankle/rearfoot versus midfoot/forefoot during gastrocnemius stretching.
        Foot Ankle Int. 2014; 35: 63-70
        • Johanson M.A.
        • Armstrong M.
        • Hopkins C.
        • et al.
        Gastrocnemius stretching program: more effective in increasing ankle/rear-foot dorsiflexion when subtalar joint positioned in pronation than in supination.
        J Sport Rehabil. 2015; 24: 307-314
        • Kim T.H.
        • Lim O.K.
        • Park K.D.
        • et al.
        Comparison of two static stretching techniques for the triceps surae in healthy individuals: wall and inclined board stretchings.
        Ann Rehabil Med. 2020; 44: 125-130
        • Dinh N.V.
        • Freeman H.
        • Granger J.
        • et al.
        Calf stretching in non-weight bearing versus weight bearing.
        Int J Sports Med. 2011; 32: 205-210
        • Jeon I.C.
        • Kwon O.Y.
        • Yi C.H.
        • et al.
        Ankle-dorsiflexion range of motion after ankle self-stretching using a strap.
        J Athl Train. 2015; 50: 1226-1232
        • de Niet M.
        • de Bot S.T.
        • van de Warrenburg B.P.
        • et al.
        Functional effects of botulinum toxin type-A treatment and subsequent stretching of spastic calf muscles: a study in patients with hereditary spastic paraplegia.
        J Rehabil Med. 2015; 47: 147-153
        • Pirazzini M.
        • Azarnia Tehran D.
        • Leka O.
        • et al.
        On the translocation of botulinum and tetanus neurotoxins across the membrane of acidic intracellular compartments.
        Biochim Biophys Acta. 2016; 1858: 467-474
        • Picelli A.
        • Filippetti M.
        • Melotti C.
        • et al.
        Does botulinum toxin treatment affect the ultrasonographic characteristics of post-stroke spastic equinus? a retrospective pilot study.
        Toxins (Basel). 2020; 12: 797
        • Friedman A.
        • Diamond M.
        • Johnston M.V.
        • et al.
        Effects of botulinum toxin A on upper limb spasticity in children with cerebral palsy.
        Am J Phys Med Rehabil. 2000; 79: 53-76
        • Chen W.
        • Liu X.
        • Pu F.
        • et al.
        Conservative treatment for equinus deformity in children with cerebral palsy using an adjustable splint-assisted ankle-foot orthosis.
        Medicine (Baltimore). 2017; 96: e8186
        • Jung D.Y.
        • Koh E.K.
        • Kwon O.Y.
        • et al.
        Effect of medial arch support on displacement of the myotendinous junction of the gastrocnemius during standing wall stretching.
        J Orthop Sports Phys Ther. 2009; 39: 867-874
        • Houck J.
        • Neville C.
        • Tome J.
        • et al.
        Randomized controlled trial comparing orthosis augmented by either stretching or stretching and strengthening for stage ii tibialis posterior tendon dysfunction.
        Foot Ankle Int. 2015; 36: 1006-1016
        • Chang S.H.
        • Abdelatif N.M.N.
        • Netto C.C.
        • et al.
        The effect of gastrocnemius recession and Tendo-Achilles lengthening on adult acquired flatfoot deformity surgery: a systematic review.
        J Foot Ankle Surg. 2020; 59: 1248-1253
        • Barouk L.S.
        • Toullec E.
        • Barouk P.
        Resultat de la liberation proximale des gastrocnemiens. etude prospective. symposium “Brievete des Gastrocnemiens”.
        Medecine Et Chirurgie Du Pied. 2006; 22: 151
        • Pinney S.J.
        • Sangeorzan B.J.
        • Hansen Jr., S.T.
        Surgical anatomy of the gastrocnemius recession (Strayer procedure).
        Foot Ankle Int. 2004; 25: 247-250
        • Vulpius O.
        • Stoffel A.
        Tenotomie der end schnen der mm. gastrocnemius el soleus mittels rutschenlassens nach vulpius.
        Ferdinand Enke, Stuttgart (Germany)1913
        • Takahashi S.
        • Shrestha A.
        The vulpius procedure for correction of equinus deformity in patients with hemiplegia.
        J Bone Joint Surg Br. 2002; 84: 978-980
        • Baker L.D.
        A rational approach to the surgical needs of the cerebral palsy patient.
        J Bone Joint Surg Am. 1956; 38: 313-323
        • Fulp M.J.
        • McGlamry E.D.
        Gastrocnemius tendon recession: tongue in groove procedure to lengthen gastrocnemius tendon.
        J Am Podiatry Assoc. 1974; 64: 163-171
        • Strayer Jr., L.M.
        Recession of the gastrocnemius; an operation to relieve spastic contracture of the calf muscles.
        J Bone Joint Surg Am. 1950; 32-A: 671-676
        • Baumann J.U.
        • Koch H.G.
        Ventrale aponeurotische Verlängerung des Musculus gastrocnemius.
        Oper Orthop Traumatol. 1989; 1: 254-258
        • Rong K.
        • Li X.C.
        • Ge W.T.
        • et al.
        Comparison of the efficacy of three isolated gastrocnemius recession procedures in a cadaveric model of gastrocnemius tightness.
        Int Orthop. 2016 Feb; 40: 417-423
        • Tashjian R.Z.
        • Appel A.J.
        • Banerjee R.
        • et al.
        Endoscopic gastrocnemius recession: evaluation in a cadaver model.
        Foot Ankle Int. 2003; 24: 607-613
        • Mateen S.
        • Ali S.
        • Meyr A.J.
        Surgical anatomy of the endoscopic gastrocnemius recession.
        J Foot Ankle Surg. 2021; (S1067-2516(21)00442-00447)
        • Hoke M.
        An operation for the correction of extremely relaxed flat feet.
        J Bone Joint Surg Am. 1931; 13: 773-783
        • Hatt R.N.
        • Lamphier T.A.
        Triple hemisection: a simplified pro- cedure for lengthening the Achilles tendon.
        N Engl J Med. 1947; 236: 166-169
        • Phillips S.
        • Shah A.
        • Staggers J.R.
        • et al.
        Anatomic evaluation of percutaneous achilles tendon lengthening.
        Foot Ankle Int. 2018; 39: 500-505
        • Chen L.
        • Ma X.
        • Wang X.
        • et al.
        Comparison of four methods for percutaneous Achilles Tendon lengthening: a cadaveric study.
        J Foot Ankle Surg. 2017; 56: 271-276
        • Lin Y.
        • Cao J.
        • Zhang C.
        • et al.
        Modified percutaneous achilles tendon lengthening by triple hemisection for achilles tendon contracture.
        Biomed Res Int. 2019; 2019: 1491796
        • Firth G.B.
        • McMullan M.
        • Chin T.
        • et al.
        Lengthening of the gastrocnemius-soleus complex: an anatomical and biomechanical study in human cadavers.
        J Bone Joint Surg Am. 2013; 95: 1489-1496
        • Rong K.
        • Ge W.T.
        • Li X.C.
        • et al.
        Mid-term results of intramuscular lengthening of gastrocnemius and/or soleus to correct equinus deformity in flatfoot.
        Foot Ankle Int. 2015; 36: 1223-1228
        • Kim N.T.
        • Lee Y.T.
        • Park M.S.
        • et al.
        Changes in the bony alignment of the foot after tendo-Achilles lengthening in patients with planovalgus deformity.
        J Orthop Surg Res. 2021; 16: 118
        • Cicchinelli L.D.
        • Pascual Huerta J.
        • García Carmona F.J.
        • et al.
        Analysis of gastrocnemius recession and medial column procedures as adjuncts in arthroereisis for the correction of pediatric pes planovalgus: a radiographic retrospective study.
        J Foot Ankle Surg. 2008; 47: 385-391
        • Hsu R.Y.
        • VanValkenburg S.
        • Tanriover A.
        • et al.
        Surgical techniques of gastrocnemius lengthening.
        Foot Ankle Clin. 2014; 19: 745-765
        • Chen L.
        • Greisberg J.
        Achilles lengthening procedures.
        Foot Ankle Clin. 2009; 14: 627-637
        • Rush S.M.
        • Ford L.A.
        • Hamilton G.A.
        Morbidity associated with high gastrocnemius recession: retrospective review of 126 cases.
        J Foot Ankle Surg. 2006; 45: 156-160
        • Sammarco G.J.
        • Bagwe M.R.
        • Sammarco V.J.
        • et al.
        The effects of unilateral gastrocsoleus recession.
        Foot Ankle Int. 2006; 27: 508-511
        • Duthon V.B.
        • Lübbeke A.
        • Duc S.R.
        • et al.
        Noninsertional Achilles tendinopathy treated with gastrocnemius lengthening.
        Foot Ankle Int. 2011; 32: 375-379
        • Brandão R.A.
        • So E.
        • Steriovski J.
        • et al.
        Outcomes and incidence of complications following endoscopic gastrocnemius recession: a systematic review.
        Foot Ankle Spec. 2021; 14: 55-63
        • Harris 3rd, R.C.
        • Strannigan K.L.
        • Piraino J.
        Comparison of the complication incidence in open versus endoscopic gastrocnemius recession: a retrospective medical record review.
        J Foot Ankle Surg. 2018; 57: 747-752