Endoscopic plantar fascia release, calcaneal drilling and calcaneal spur removal for management of painful heel syndrome

Shazly, Ossama El; Beltagy, Atef El

doi:10.1016/j.foot.2010.09.004

Cited by 30 publications

(40 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The preoperative Mayo scores are listed in Table 3. The overall classification of the postoperative Mayo score (15,17) was as follows: 5 patients (29.4%) had a good score (80 to 89 points) and 12 (70.6%) an excellent score (!90 points; Table 4). Four patients (23.5%) with a heel spur had a minimum score of 80 points.…”

Section: Resultsmentioning

confidence: 99%

“…The preoperative and postoperative Mayo clinical scoring systems, which include a possible 100 possible points, were used to evaluate the results of the plantar fasciotomy. The Mayo clinical scoring system has been shown to be both reliable and valid to evaluate the results of plantar fasciotomy (15). The evaluation day for the preoperative value was 1 day before surgery and the evaluation day for the postoperative value was 1 month after surgery.…”

Section: Follow-up and Observational Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy

Yanbin

Haikun

et al. 2015

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Section: Follow-up and Observational Findingsmentioning

confidence: 99%

Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy

Yanbin

Haikun

et al. 2015

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

“…19 However, the deep abductor hallucis fascia cannot be released by the reported techniques of endoscopic plantar fascia release. 15,20,21 There are 2 potential sites where the first branch of the lateral plantar nerve can be compressed. The nerve can be entrapped between the deep fascia of the abductor hallucis and the medial caudal margin of the medial head of quadratus plantae.…”

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

View full text Add to dashboard Cite

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.

show abstract

“…13 Only 5 to 10% of the people will need surgical intervention like removal of calcaneal spur, neurectomy and plantar fasciotomy. 14,15 Among the above mentioned treatments, steroid injection is a popular method of treating the condition but is useful in the short term with disappointing long-term results. 11 Potentially disabling complications have also been reported, such as rupture of the plantar fascia, infection, and fat pad atrophy.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of intralesional corticosteroid versus autologous platelet rich plasma injection in the management of chronic plantar fasciitis

Kumar¹,

Koramutla

2018

Int J Res Orthop

View full text Add to dashboard Cite

Background: Plantar fasciitis is a common pathological condition affecting the hind foot, and a common cause of heel pain. The present study was taken up to assess the efficacy of intralesional corticosteroid compared to autologous platelet rich plasma injection in the management of chronic plantar fasciitis.Methods: Patients were randomized into two groups (Group A and Group B) of 30 each. Group-A received Corticosteroid injection while Group-B received PRP injection. Patients were assessed functionally using American Orthopaedic Foot and ankle score (AOFAS), Visual analogue scale (VAS) scores before treatment and on follow-up visit at 6 weeks, 3rd month, and 6th month. Ultrasound of heel for plantar fascia thickness was measured before treatment and follow up visit at 6th month.Results: A significant decrease in VAS score was observed in the corticosteroid group compared to PRP group at 6 weeks while the VAS score continued to decrease in the PRP group at 3 months and 6 months with an increase in the corticosteroid group at 3 months and 6 months. A significant increase in AOFAS was observed in the Corticosteroid group compared to PRP group at 6 weeks which increased in the PRP group at 3 months and 6 months. However it decreased in the corticosteroid group at 3 months and 6 months. Ultrasonographic evaluation showed improvement in fascial thickness in both the groups, but was better in the PRP group.Conclusions: To conclude our study shows that corticosteroid is more effective for short term relief and PRP is more effective for long term relief.

show abstract

Endoscopic plantar fascia release, calcaneal drilling and calcaneal spur removal for management of painful heel syndrome

Cited by 30 publications

References 19 publications

Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy

Treatment of Chronic Plantar Fasciitis With Percutaneous Latticed Plantar Fasciotomy

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

Efficacy of intralesional corticosteroid versus autologous platelet rich plasma injection in the management of chronic plantar fasciitis

Contact Info

Product

Resources

About