Surgical Procedure
Overview of posterior side of the calcaneus.
The medial portal can be made under direct vision as in this image. It can also be made directly with the lateral portal.
The superoposterior side of the calcaneus is shaved off. Changing portals is helpfull to adress the entire area.
Portals can be changed to address the wntire superoposterior calcaneus.
View from medial.
It is important to also address the lateral (this picture) and medial borders of the posterosuperior calcaneus.
The insterioon of the Achilles tendons should also be inspected if sufficient bone had been removed, impingement no longer exists, and for remnants of scar tissue or synovitis.
End-result