Peter
How about this one;
If a patient has a hyper-pronated foot type (any cause) and the Mid tarsal
joint is normal, the tension is Tendo achiles may be reduced as the patient
achieves some dorsiflexion at the mid tarsal joint complex. (MTJ oblique
axis pronation to use old terminology)
Since the majority of podiatrists (at least in this area) test for pseudo-
ankle equinus with the STJ at roughly neutral position, this will result in
a high level of mild to moderate Gastroc equinus detected in our client
population.
Since the majority of patients presenting at my clinic do so with pronated
foot types I have come to think of mild Gastroc Equinus as being a
complication of hyperpronation and only severe gastroc equinus as being a
truly independent entity.
P'raps I'm wrong, but it seems to fit my observations.
Bryan
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