Treatment of talipes equinovarus after triceps surae intramuscular hemangioma surgery by Ilizarov technology in adults:A case report

BACKGROUND Postoperative complications of triceps surae intramuscular hemangioma surgery with talipes equinovarus have rarely been described,and the evidence for treatment is limited.The purpose of this case study was to report the new application of the Ilizarov technique,which successfully treated talipes equinovarus in adults after triceps surae intramuscular hemangioma.CASE SUMMARY A 29-year-old woman treated with the Ilizarov technique for talipes equinovarus in the right leg after triceps surae intramuscular hemangioma surgery.The equinus deformity was roughly corrected after 2 years of follow-up,without significant secondary sequelae.CONCLUSION Talipes equinovarus caused by postoperative sequelae of intramuscular hemangioma was successfully corrected by the Ilizarov technique.The Ilizarov technique may be used for treating talipes equinovarus caused by various causes.

Effect of a 10-Week Stretching Program of the Triceps Surae Muscle Architecture and Tendon Mechanical Properties

Purpose The present study aimed to test if a long-term passive stretching training causes adaptations of the medial gastroc-nemius architecture and the Achilles tendon (AT) tangent modulus.Methods A total of 20 males took part in the study.The stretching group (n =12),performed stretching exercises for the plantar flexors for 10 weeks,4-5 times a week,which comprised two static positions sustained twice each during 30 s.Results For the stretching group,maximum dorsiflexion angle,peak passive torque,and muscle-tendon unit maximum length significantly increased after training.No other differences were found related to muscle architecture and AT tangent modulus.Conclusion Joint amplitude gain after a long-term stretching of the triceps surae was not accompanied by structural or mechanical changes of the medial gastrocnemius and AT tendon,and seems to reflect an increasing stretch tolerance level.