What type of gait is associated with over lengthened Achilles and potential heel ulceration?

• A. Flatfoot gait
• B. Calcaneal gait
• C. Toe-off gait
• D. Antalgic gait

Answer: (B)

The type of gait associated with an over-lengthened Achilles tendon and potential heel ulceration is calcaneal gait. In this gait pattern, individuals tend to have a decreased ability to plantarflex the foot due to the elongated Achilles tendon, which can lead to excessive loading of the heel during ambulation. This increased pressure on the heel can predispose these individuals to heel ulcers, especially if they have additional risk factors such as neuropathy or vascular insufficiency.

In calcaneal gait, patients typically exhibit a flat-footed appearance during the mid-stance phase of walking, which can further contribute to unstable mechanics and increased stress on the heel area. Observing such a gait can provide insight into underlying musculoskeletal issues and guide therapeutic interventions aimed at reducing pressure on the heel and improving overall gait mechanics.