egr endoscopic gastrocnemius recessuion
DESCRIPTION
EGR ENDOSCOPIC GASTROCNEMIUS RECESSUION. EQUINUS DEFORMITY. Equinus is probably the most unrecognized, and untreated pathological condition affecting the human lower extremity. Symptoms. Foot fatigue Leg and arch pain Night cramps Walking intemperance Athletic abstinence - PowerPoint PPT PresentationTRANSCRIPT
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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)