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. 2025 Jun 20;10(2):24730114251347265.
doi: 10.1177/24730114251347265. eCollection 2025 Apr.

Medial Gastrocnemius Recession

Irvin Oh  1 , Jeremy Ansah-Twum  1 , Arianna Gianakos  1 , Kinjal Vasavada  1
Affiliations

Medial Gastrocnemius Recession

Irvin Oh et al. Foot Ankle Orthop. .
No abstract available

Keywords: gastrocnemius recession; medial gastrocnemius recession; proximal medial gastrocnemius recession.

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Conflict of interest statement

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Irvin Oh, MD, reports general disclosures of royalties- Innomed, consultant- Depuy Synthes. Arianna L. Gianakos, DO, reports general disclosures of consultant- Arthrex. Disclosure forms for all authors are available online.

Figures

Figure 1.
Figure 1.
Medial gastrocnemius recession is indicated for patients with isolated gastrocnemius contracture. This 47-year-old man presented with chronic Achilles tendonitis and a positive Silfverskiold test.
Figure 2.
Figure 2.
A 2-cm longitudinal incision is made 4 to 6 cm distal from the popliteal fossa, aligned with the medial border of the popliteal crease or parallel to the posterior border of the medial malleolus. The arrow indicates the medial border of the popliteal crease.
Figure 3.
Figure 3.
(A) The epimysium overlying the medial gastrocnemius muscle is identified. (B) The epimysium is transversely incised while applying dorsiflexion force to the ankle. (C) The medial and lateral borders of the epimysium are readily visualized with gentle retraction using Army-Navy retractors. (D) Complete release of the medial gastrocnemius epimysium is confirmed.
Figure 4.
Figure 4.
The medial gastrocnemius fascia release is performed at a more distal location (*) compared with the PMGR release site (▲). The PMGR release is situated adjacent to the semimembranosus tendon and major neurovascular structures within the popliteal fossa.
See this image and copyright information in PMC

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