Ultrasound Evaluation of a Spontaneous Plantar Fascia Rupture

Louwers, Michael J.; Sabb, Brian; Pangilinan, Percival H.

doi:10.1097/phm.0b013e3181f711e2

Cited by 21 publications

(18 citation statements)

References 14 publications

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“…This region may be first injured especially in high intensity training [33]. In addition, the plantar pain and the plantar fasciitis may present first in this region [9,10]. The strain in FE prediction was lower than that of testing (Table 2) according to the tensile behavior of three PFs.…”

Section: Discussionmentioning

confidence: 84%

“…It was illustrated that the elongation state of the residual PF was The fourth and fifth DPF sutured at A: cuboid (the original suture location after amputation); B: the third metatarsal; C: the third metatarsal and cuboid. D: The fourth and fifth DPF was un-sutured decreased in the posterior-anterior direction, which would prevent the plantar pain of PFA [10], avoid the partial foot reamputation due to the excessive tensile of PF and the occurrence of plantar fasciitis [9]. PF was elongated due to the foot arch flattening in the static stance [34].…”

Section: Discussionmentioning

confidence: 99%

“…Otherwise, lateral plantar nerve may be oppressed to incur the plantar fasciitis [8] and make the partial foot re-amputated. To avoid partial foot reamputation and plantar fasciitis [9], the reasonable suture locations of the DPF after foot amputation can prevent the plantar pain [10]. However, it is difficult for PFA to measure the biomechanical response of the different DPF locations in vivo [11].…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical analysis of suture locations of the distal plantar fascia in partial foot

Guo

Wang

et al. 2015

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biomechanical analysis of suture locations of the distal plantar fascia in partial foot

Guo

Wang

et al. 2015

International Orthopaedics (SICOT)

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“…Only 7 definitive spontaneous ruptures have been reported in the literature 1,6,9,10,12,15,16 , although there may have been others embedded in case series not conclusively specified. Our patient will make the eighth case reported since 1978.…”

Section: 7mentioning

confidence: 99%

“…2,4,5 The time to full recovery is variable, usually within 3 weeks but potentially up to more than a year, regardless of prior activity level. 1,4,5,9,15 Some have proposed altered mechanics of the lower extremity as a risk, without any clear studies to confirm. Surgical treatment, particularly for chronic partially torn fascia, is usually reserved for those not improving.…”

Section: 7mentioning

confidence: 99%

Plantar Fascia Rupture: Ultrasound to Facilitate Recognition

Servey

Jonas

2018

J Am Board Fam Med

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Plantar fascia rupture in the absence of previous diagnosis of plantar fasciitis, corticosteroid injection, or injury is a rare occurrence with only 7 case reports in the literature since 1978. This is a case of spontaneous plantar fascia rupture in a 38-year-old active-duty US military member with current considerations in musculoskeletal ultrasound, other radiologic imaging, treatment, and followup of this diagnosis. ( A 38-year-old previously healthy active-duty male member of the US Armed Services presented to a family medicine clinic for evaluation of severe right heel and plantar midfoot pain of less than 24 hours' duration. The patient reported that while going up for a layup shot during a basketball game, he experienced a "pop" and immediate pain in his left foot localized at the front and middle part of his heel. He was able to finish the remaining 30 minutes of the game but continued to have pain that caused limping the remainder of the game. Afterward, he self treated with ice, elevation of his foot, and an unspecified nonsteroidal anti-inflammatory medication (NSAID). Two days later when his symptoms, foot pain and limping, persisted with minimal improvement despite these home treatments, he presented to clinic for evaluation. As a military medic himself, the patient provided a thorough medical history that included having no previous heel pain, diagnosis of plantar fasciitis, footwear or activity changes, minimalist footwear, or trauma.On further questioning, he denied ever having had corticosteroid injections or fluoroquinolone use.On inspection his examination was remarkable for an antalgic gait, without pes planus or cavus. His foot demonstrated some mild swelling, tenderness, and ecchymosis in the mid-plantar foot (Figure 1). Tenderness to palpation was noted extending from the medial calcaneal tubercle distally 3 cm. Ottowa Ankle and Foot Rules were negative including no tenderness to palpation at the posterior medial or lateral malleoli, base of the fifth metatarsal, or the navicular bone. His Achilles tendon was nontender with an intact extensor mechanism based on Thompson test, and later confirmed with ultrasound. Active range of motion was normal in all planes, and his deep tendon reflexes at the Achilles tendons were normal. His muscle strength testing, including flexor and extensor hallicus longus, flexor and extensor digitori, tibialis anterior and posterior as well as fibularis longus and brevis, gastrocnemius and soleus, were all 5/5 and symmetric with the unaffected foot. Neurovascular examination demonstrated normal sensation to light touch over the entirety of the foot and ankle, capillary refill was less than 1 second, and the dorsalis pedis and posterior tibial pulses were symmetric with the unaffected foot. Special testing including anterior drawer, talar tilt, squeeze, Thompson were negative. Plain x-rays of the ankle and foot were negative for fracture or other clinically relevant findings. The patient was diagnosed with a likely plantar fascia rupture, placed in a rigid contro...

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Plantar Fascia Disorders

Draghi

2019

Ultrasonography of the Lower Extremity

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Ultrasound Evaluation of a Spontaneous Plantar Fascia Rupture

Cited by 21 publications

References 14 publications

Biomechanical analysis of suture locations of the distal plantar fascia in partial foot

Biomechanical analysis of suture locations of the distal plantar fascia in partial foot

Plantar Fascia Rupture: Ultrasound to Facilitate Recognition

Plantar Fascia Disorders

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