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{ Functional and Surgical Aspects of Triceps Surae and Tendo Calcaneus (Achilles) Dr. Sanjoy Sanyal MBBS, MS (Surgery), MSc (RCSEd), ADPHA NC 27519

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

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Page 1: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

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Functional and Surgical Aspects of Triceps Surae

and Tendo Calcaneus (Achilles)

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

Page 2: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Triceps Surae Components

Clinical Testing

Page 3: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Gastrocnemius (‘Gastro’)

Seen from the Lateral Side

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

Page 4: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Gastrocnemius

Seen from the Medial Side

PAES

Gastrocnemius Strain (Tennis Leg)

Page 5: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Soleus (‘Sole’ = Flat Fish)

Seen from the Lateral Side

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

Page 6: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Soleus

Seen from the Lateral Side

Accessory Soleus 3%

Page 7: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Plantaris

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

Page 8: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Tendo Calcaneus (‘Achilles’)

Seen from the Lateral Side

Aponeurotic – Tendinous; Rotates 90 degrees laterally

Page 9: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Tendo Calcaneus

Seen from the Medial Side

Calcaneal Tendon Reflex; Calcaneal Bursitis, Calcaneal Tendinitis

Page 10: Functional Surgical Aspects -Triceps Surae-Tendo Calcaneus - Sanjoy Sanyal

Tendo Calcaneus

Seen from the Medial Side

Calcaneal Tendon Rupture; Absence of Plantar flexion; Surgical Repair