Background: Isolated gastrocnemius tightness (IGT) is a prevalent condition linked to various foot pathologies. In a previous quantitative gait analysis study, we identified an increase in knee flexion during the midstance phase in IGT patients compared with controls. Although stretching and eccentric exercises (the Stanish protocol) are commonly used for IGT management, their impact on gait parameters remains poorly understood. This study aimed to assess the influence of a Stanish protocol on gait parameters in bilateral IGT subjects. Methods: We enrolled 10 asymptomatic bilateral IGT subjects and 10 controls. Quantitative gait analysis and dynamic baropodometry were carried out on each subject. A Stanish protocol was applied for 4 weeks (five sessions/week) by the IGT group, followed by a similar gait analysis. The ankle and knee range of motion and foot pressure distribution were assessed during the midstance phase of the gait. Results: An increase in knee flexion was initially present in the IGT group compared with controls (8.9 +/− 4.6 vs. 3.4 +/− 2.3 degrees, p < 0.001). There was no difference in the ankle range of motion and foot pressures between the groups at that time. Significant reductions in knee flexion during gait were observed in the IGT subjects after the Stanish protocol (8.9 +/− 4.6 to 3.7 +/− 2.3 degrees, p < 0.001) with a normalization of this parameter (3.4 +/− 2.3 in controls vs. 3.7 +/− 2.3 degrees in IGT, p = 0.72). There was no change in ankle range of motion and foot pressure after the Stanish protocol. Conclusions: Our findings support the effectiveness of the Stanish protocol in reducing knee flexion and normalizing gait in IGT subjects. This protocol not only offers a noninvasive approach for IGT-related issues management but could also enable prophylactic care in asymptomatic cases.

Posterior shoulder instability, often related to glenoid dysplasia, can also be associated with inferior capsuloligamentous instability. This study presents the technical procedure of the retroglenoid osteotomy with posterior capsular shift, supported by clinical and radiological evaluation. Our hypothesis was that the re-orientation of the glenoid and the capsular retensioning could achieve shoulder stability. Eleven shoulders of nine patients with posterior shoulder instability and glenoid dysplasia underwent retroglenoid osteotomy with posterior capsular shift. A graft was inserted into the posterior opening, with full respect of the anterior wall of the scapular neck. The technique is detailed. Clinical, radiological, and functional outcomes were assessed over an average follow-up period of 20 months. This study showed clinical improvements in all patients, with the complete resolution of instability symptoms and radiological correction of glenoid retroversion. No complications or re-operations were observed. Range of motion in the shoulder joints was preserved, and patients reported satisfaction with their outcomes. The total Constant Score increased from 58.2 to 76 points, the mean post-operative Walch-Duplay score was to 92 points (10–100). In the context of posterior shoulder instability with glenoid dysplasia and inferior laxity, the retroglenoid osteotomy associated with the posterior capsular shift offers substantial clinical improvement in the short term, leading to symptoms resolution, stable shoulder and radiological correction of glenoid retroversion. level 4 Current clinical practice.