- Discussion:
- following are components of a Medial Release:
- recession or excision of abductor hallucis;
- elongation/release of: tibionavicular portion of deltoid ligament
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tibialis posterior tendon
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talonavicular joint capsule
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talocalcaneal joint capsule
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interosseous ligament (only rarely performed)
- long toe flexors may also require elongation.
- division of Spring Ligament, Lateral Bifurcate Ligament;
- w/ serious Cavus deformity: contracted plantar muscles may also
require a release. (combined procedure: Plantar Medial Release)
Clubfoot Posteromedial Release: Advantages of Tibialis Anterior Tendon Lengthening
Philippe R. Wicart, M.D. JPO 2002;22:526-532