Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

{

Functional and Surgical Aspects of Triceps Surae

and Tendo Calcaneus (Achilles)

Dr. Sanjoy SanyalMBBS, MS (Surgery), MSc (RCSEd), ADPHANC 27519

Triceps Surae Components

Clinical Testing

Gastrocnemius (‘Gastro’)

Seen from the Lateral Side

White, Fast-twitch, Type-2, Fatigue-able; For Running, Jumping, Sprinting

Gastrocnemius

Seen from the Medial Side

PAES

Gastrocnemius Strain (Tennis Leg)

Soleus (‘Sole’ = Flat Fish)

Seen from the Lateral Side

Red, Slow-twitch, Type-1, Fatigue-resistant; Antigravity, Postural muscle; Symmetrical standing

Soleus

Seen from the Lateral Side

Accessory Soleus 3%

Plantaris

‘Freshman’s Nerve’; Spindles; Rupture (Tennis sports); Tendon Grafting

Tendo Calcaneus (‘Achilles’)

Seen from the Lateral Side

Aponeurotic – Tendinous; Rotates 90 degrees laterally

Tendo Calcaneus

Seen from the Medial Side

Calcaneal Tendon Reflex; Calcaneal Bursitis, Calcaneal Tendinitis

Tendo Calcaneus

Seen from the Medial Side

Calcaneal Tendon Rupture; Absence of Plantar flexion; Surgical Repair