Endoscopic Plantar Fascia Release: A Case Series

Boyle, R.A.; Slater, Gordon

doi:10.1177/107110070302400213

Cited by 48 publications

(38 citation statements)

References 9 publications

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“…A reasonable improvement of symptoms was achieved at 3 months, and progressive improvement occurred until the 1 year follow-up. This is comparable with the results reported by many studies [4,5,11,26].…”

Section: Discussionsupporting

confidence: 92%

Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

Radwan

Mansour

Badawy

2012

International Orthopaedics (SICOT)

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Section: Discussionsupporting

confidence: 92%

Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

Radwan

Mansour

Badawy

2012

International Orthopaedics (SICOT)

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“…When compared anecdotally to the traditional open procedure, the endoscopic approach gives superior results in these important outcome measures, similar to those reported by others. In a smaller case series report involving 17 patients who underwent uniport endoscopic release, Boyle and Slater (8) reported that 82.4% of subjects had mild to no pain postoperatively. Similarly, Brekke and Green (7) reported a mean reduction in pain of 71.5% with a dualportal endoscopic procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, no consensus has been reached on which of the various endoscopic approaches is best (1). Investigators have described uni-and multiport procedures both with and without insufflations (8)(9)(10). Beginning in 2001, the principal investigator (T.N.M.)…”

Section: A R T I C L E I N F Omentioning

confidence: 99%

A Review of 105 Consecutive Uniport Endoscopic Plantar Fascial Release Procedures for the Treatment of Chronic Plantar Fasciitis

Morton

Zimmerman

Lee

et al. 2013

The Journal of Foot and Ankle Surgery

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Level of Clinical Evidence: 3 Keywords: calcaneus chronic inflammation endoscopy heel pain plantar fasciitis surgery a b s t r a c t Plantar fasciitis is a common cause of heel pain in the U.S. Army soldier, resulting in a significant loss of man hours. Given the heavy operations tempo of the U.S. military, successful treatment options need to be considered and used as quickly as possible. Plantar fasciitis can be successfully treated in up to 90% of patients using conservative measures. Operative intervention might need to be considered for those in whom conservative measures have failed. The present report is a review of 105 consecutive uniport endoscopic plantar fascial release procedures performed by the principal investigator during a 9-year period. The following data were collected and analyzed: gender, age, weight, height, body mass index, medical treatment facility, procedure laterality, preoperative pain levels, postoperative pain levels at 3 months, first ambulatory day in the controlled ankle motion boot, return to activity as tolerated, and complications. Three major points were of interest: evidence of improvement in chronic plantar fasciitis when treated with uniport endoscopic procedures; the patient attributes associated with self-reported pain levels 90 days postoperatively; and the patient attributes associated with the average time until patients were able to return to activities as tolerated in a controlled ankle motion boot. It was noted that 44.5% of those with a body mass index of 29.80 kg/m 2 or greater reported a postoperative pain level of 0; and 96.3% of those with a body mass index of 25.53 kg/m 2 or less reported postoperative pain levels of 0. The analyzed data were used to characterize the clinical outcomes of the procedure, identify changes in outcome with surgeon experience, and identify whether certain patient subgroups have better outcomes, allowing surgeons to identify which patient might be the best candidates for an endoscopic release procedure.

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“…[7][8][9][10][11][12][13][14][15][16][17] The technique has been modified to remove the plantar calcaneal spur 18 and plantar calcaneal bursa. 19 However, the deep abductor hallucis fascia cannot be released by the reported techniques of endoscopic plantar fascia release.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve and Release of the Plantar Aponeurosis for Chronic Heel Pain

Lui¹

2016

Arthroscopy Techniques

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Entrapment of the first branch of the lateral plantar nerve is a commonly missed cause of recalcitrant plantar heel pain. The diagnosis is made on a clinical ground with maximal tenderness at the site of nerve entrapment. Treatment of the nerve entrapment is similar to that for plantar fasciitis, with rest, activity modification, nonsteroidal antiinflammatory drugs, stretching exercise, and local steroid injection. Surgical release of the deep abductor hallucis fascia is indicated when conservative treatment failed. Endoscopic release of the nerve through the dorsal and plantar portals, as well as endoscopic plantar aponeurosis release, is a feasible approach. P lantar heel pain is one of the most common problems faced by orthopaedic surgeons. Differential diagnoses include plantar fasciitis, entrapment of the first branch of the lateral plantar nerve, fat pad disorders, stress fracture of the calcaneal body, fatigue fracture of the medial calcaneal tuberosity, rupture of the plantar aponeurosis, tarsal tunnel syndrome, sciatica, painful piezogenic heel papules, glomus tumor of the heel pad, and bone and soft tissue tumor. 1The most common cause of plantar heel pain is plantar fasciitis, which is usually cured with conservative care. Entrapment of the first branch of the lateral plantar nerve, which can occur together with plantar fasciitis, is one of the most commonly overlooked causes of plantar heel pain. The nerve consists of sensory fibers for the calcaneal periosteum and the long plantar ligament as well as motor fibers for the quadratus plantae, flexor digitorum brevis, and abductor digiti quinti muscles.2 Nerve entrapment syndrome has previously been considered only in cases with intractable heel pain, but it may play a role in the early phases of painful heel syndrome. 3Diagnosis of the nerve entrapment is made on clinical grounds. Early morning pain is uncommon with isolated nerve entrapment. It tends to cause more pain at the end of the day or after prolonged activity. This may be related to the engorgement of a vessel accompanying the first branch of the lateral plantar nerve causing ischemia of the nerve rather than pure static compression of the nerve by the fascia. 4 The pathognomonic sign is maximal tenderness at the medial border of the plantar heel where the nerve entrapment occurs.1 The diagnosis can be confirmed by injection of lidocaine and bupivacaine into the region of the nerve, resulting in complete, albeit temporary, relief of the pain.

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Endoscopic Plantar Fascia Release: A Case Series

Cited by 48 publications

References 9 publications

Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

Resistant plantar fasciopathy: shock wave versus endoscopic plantar fascial release

A Review of 105 Consecutive Uniport Endoscopic Plantar Fascial Release Procedures for the Treatment of Chronic Plantar Fasciitis

Endoscopic Decompression of the First Branch of the Lateral Plantar Nerve and Release of the Plantar Aponeurosis for Chronic Heel Pain

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