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Related Experiment Video

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Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis

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Gastrocnemius Recession for Metatarsalgia.

Rose E Cortina¹, Brandon L Morris¹, Bryan G Vopat¹

¹Department of Orthopedic surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.

Foot and Ankle Clinics

|January 25, 2018

Summary

Metatarsalgia, a common cause of forefoot pain, can result from gastrocnemius muscle contracture. Lengthening this muscle is an option when conservative treatments for mechanical metatarsalgia fail.

Keywords:

Endoscopic gastrocnemius recession Gastrocnemius recession Metatarsalgia Strayer

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Published on: July 7, 2016

Area of Science:

Orthopedics
Biomechanics
Podiatry

Background:

Metatarsalgia is a prevalent source of pain in the forefoot.
Causes include anatomical variations, gait abnormalities, and foot deformities.
Mechanical metatarsalgia is specifically linked to gastrocnemius muscle contracture, leading to forefoot overload.

Purpose of the Study:

To explore the relationship between gastrocnemius contracture and metatarsalgia.
To identify clinical indicators of this condition.
To discuss treatment options for refractory cases.

Main Methods:

Clinical observation and assessment of patients with metatarsalgia.
Evaluation of gait mechanics and foot posture.
Diagnostic use of the Silfverskiold test to assess ankle equinus.

Main Results:

Gastrocnemius muscle contracture leads to altered gait mechanics and increased forefoot pressure.
Patients with this condition often present with ankle equinus and a positive Silfverskiold test.
Nonoperative treatments are typically the first line of management.

Conclusions:

Gastrocnemius contracture is a significant factor in mechanical metatarsalgia.
Surgical lengthening of the gastrocnemius muscle can be considered for patients unresponsive to conservative care.
Addressing the underlying muscular imbalance is key to managing this condition.