Incidence of Plantar Fascia Ruptures Following Corticosteroid Injection

Abstract

Plantar fasciitis is commonly treated with corticosteroid injections to decrease pain and inflammation. Therapeutic benefits often vary in terms of efficacy and duration. Rupture of the plantar fascia has been reported as a possible complication following corticosteroid injection. A retrospective chart review of 120 patients who received corticosteroid injection for plantar fasciitis was performed at the authors' institution to determine the incidence of plantar fascia rupture. The plantar fascia rupture was diagnosed clinically and confirmed with magnetic resonance imaging. Various factors were analyzed, including the number of injections, interval between injections, body mass index (BMI), and activity level. Four patients (2.4%) consequently experienced plantar fascia rupture following an average of 2.67 injections. The average BMI of these patients was 38.6 kg/m². The authors conclude that corticosteroid injection therapy appears to be a safe and effective form of nonoperative treatment with minimal complications and a relatively low incident of plantar fascia rupture.

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

“…The low rates of complications can be attributed to the correct technique and post procedure compliance by the patients. Kim et al [16] performed retrospective study of 120 random patients diagnosed with plantar fasciitis who were treated with local corticosteroid injection and reported the incidence of plantar fascia rupture to be 2.4%, following which it was concluded that corticosteroid injection therapy is a safe and effective form of treatment for plantar fasciitis with minima l complications.…”

Sporcularda plantar fasya rüptürleri

“…Kim ve ark., kortikosterid enjeksiyonu ile tedavi edilmiş 120 plantar fasiitis hastasını geriye dönük olarak değerlendirdikleri çalışmalarında, sadece üç olguda rüptür rapor etmişlerdir. [6] Etiyolojide suçlanan diğer nedenler ise, Aşil tendon kontraktürü ve gergin gastrokinemius-soleus kompleksidir. [8] PF rüptürleri nadir görülen yaralanmalar olmakla beraber, sporcularda, popülasyonun geri kalan kısmına göre daha sık izlenir.…”

“…Hastalar sıklıkla, atletik aktivite sırasında ani gelişen bir 'pop' sesi ve yırtılma hissi tarif ederler. [6,7] PF rüptürlerinde genellikle, plantarda mediyalde aniden olan keskin ağrı, ayakta, yürürken, koşarken ve parmak ucuna kalkıldığında artan ağrı, lokal hassasiyet, ekimoz ve genel travma bulguları gözlenir. [16] Ayak parmaklarının pasif dorsifleksiyonu ile artan ağrı izlenebilir.…”

“…[1][2][3][4] Plantar fasya (PF) problemlerinin toplumda %10 civarında olduğu kabul edilir, PF rüptürleri ise daha nadirdir. [4][5][6] ANATOMİ VE FİZYOPATOLOJİ PF, ayak tabanında tuber kalkanei'den başlayan ayak parmakları proksimal falankslarına yapışan kuvvetli bir bağ dokusudur. Yapı, ayağın tabanını travmalardan korur, arkları destekler ve stabilize eder, her bir yürü-me siklusunda da değişik yüklenmelere maruz kalır.…”

A Prospective Randomized Trial Using Four Treatment Modalities for the Treatment of Plantar Fasciitis

“…21 Kim, et al, reported on a 2.4% incidence of plantar fascial rupture after receiving an average of 2.67 injections. 22 The injections consisted of .5ccs of dexamethasone plus .5ccs of Triamcinolone, and .5ccs of Xylocaine mixed with .5ccs of Marcaine. Thus far, there have been no reported cases of severe complications from Botox ® injections and platelet plasma injections.…”