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The gastrocnemius inserts at the calcaneous bone of the heel of the foot by way of the Achilles tendon. Achilles Tendon. Muscles insert to bone through their tendons. Muscle bundles are surrounded by filmy connective tissues. These connective tissues extend from the muscle and gather to form tendons. Tendons are denser and more fibrous than muscle.
A gastrocnemius recession is performed on a patient with gastrocnemius equinus (tightness of the calf muscle) to lengthen the calf muscle. The tightness in the gastrocnemius muscle causes the ankle to point downward, meaning the joint cannot dorsiflex (bend up) normally.