Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?

Mattiussi, Gabriele; Turloni, Michele; Baldassi, Pietro Tobia; Moreno, Carlos

doi:10.1155/2016/1830875

Cited by 3 publications

(2 citation statements)

References 12 publications

(16 reference statements)

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“…Schulze et al, 2014 hypothesized its role in medial tibial stress syndrome and found that manual treatment of the crural fascia led to a reduction of pain in this condition. Mattiussi et al, 2016 suggested a potential role of this same fascia in acute Achilles Paratendinopathy. Further investigation may confirm these hypotheses.…”

Section: Discussionmentioning

confidence: 99%

The deep fascia and its role in chronic pain and pathological conditions: A review

2022

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The deep fascia is a three‐dimensional continuum of connective tissue surrounding the bones, muscles, nerves and blood vessels throughout our body. Its importance in chronically debilitating conditions has recently been brought to light. This work investigates changes in these tissues in pathological settings. A state‐of‐the‐art review was conducted in PubMed and Google Scholar following a two‐stage process. A first search was performed to identify main types of deep fasciae. A second search was performed to identify studies considering a deep fascia, common pathologies of this deep fascia and the associated alterations in tissue anatomy. We find that five main deep fasciae pathologies are chronic low back pain, chronic neck pain, Dupuytren's disease, plantar fasciitis and iliotibial band syndrome. The corresponding fasciae are respectively the thoracolumbar fascia, the cervical fascia, the palmar fascia, the plantar fascia and the iliotibial tract. Pathological fascia is characterized by increased tissue stiffness along with alterations in myofibroblast activity and the extra‐cellular matrix, both in terms of collagen and Matrix Metalloproteases (MMP) levels. Innervation changes such as increased density and sensitization of nociceptive nerve fibers are observed. Additionally, markers of inflammation such as pro‐inflammatory cytokines and immune cells are documented. Pain originating from the deep fascia likely results from a combination of increased nerve density, sensitization and chronic nociceptive stimulation, whether physical or chemical. The pathological fascia is characterized by changes in innervation, immunology and tissue contracture. Further investigation is required to best benefit both research opportunities and patient care.

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Section: Discussionmentioning

confidence: 99%

The deep fascia and its role in chronic pain and pathological conditions: A review

2022

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“…Consistent with this hypothesis, repetitive microtraumas to the gluteus maximus muscle from overuse and misuse led to myofascial pain syndrome (Waldman, 2014). Likewise, a recent report showed that the onset of acute Achilles paratendinopathy could be related to histological and biomechanical changes in the crural fascia resulting from calf muscles injury (Mattiussi et al, 2016). Another recent study described a case series of nine athletes with pain in the Achilles region who had tears in the fascia cruris from the attachment to the paratenon and AT (Webborn et al, 2015).…”

Section: Structural and Functional Coupling Between Muscles And Fasciamentioning

confidence: 99%

Do the fasciae of the soleus have a role in plantar fasciitis?

et al. 2023

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Plantar fasciitis is a chronic, self‐limiting, and painful disabling condition affecting the inferomedial aspect of the heel, usually extending toward the metatarsophalangeal joints. There is compelling evidence for a strong correlation between Achilles tendon (AT) loading and plantar aponeurosis (PA) tension. In line with this, tightness of the AT is found in almost 80% of patients affected by plantar fasciitis. A positive correlation has also been reported between gastrocnemius‐soleus tightness and heel pain severity in this condition. Despite its high prevalence, the exact etiology and pathological mechanisms underlying plantar heel pain remain unclear. Therefore, the aim of the present paper is to discuss the anatomical and biomechanical substrates of plantar fasciitis with special emphasis on the emerging, though largely neglected, fascial system. In particular, the relationship between the fascia, triceps surae muscle, AT, and PA will be analyzed. We then proceed to discuss how structural and biomechanical alterations of the muscle‐tendon‐fascia complex due to muscle overuse or injury can create the conditions for the onset of PA pathology. A deeper knowledge of the possible molecular mechanisms underpinning changes in the mechanical properties of the fascial system in response to altered loading and/or muscle contraction could help healthcare professionals and clinicians refine nonoperative treatment strategies and rehabilitation protocols for plantar fasciitis.

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Crural fascia

Feger¹

2021

Radiopaedia.org

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Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?

Cited by 3 publications

References 12 publications

The deep fascia and its role in chronic pain and pathological conditions: A review

The deep fascia and its role in chronic pain and pathological conditions: A review

Do the fasciae of the soleus have a role in plantar fasciitis?

Crural fascia

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