Plantar fascia rupture associated with corticosteroid injection.

摘要: A series of 37 patients, all with a presumptive diagnosis plantar fascia rupture, is presented. All had prior heel pain diagnosed as fasciitis, and been treated corticosteroid injection into the calcaneal origin fascia. One third described sudden tearing episode in heel, while rest gradual change symptoms. Most patients relief original pain, which replaced by variety new foot problems, including dorsal lateral midfoot swelling, weakness, metatarsal fracture. In there was palpable diminution tension on involved side, footprints often showed flattening arch. Magnetic resonance imaging done one patient attenuation From these observations data, author concluded that rupture occurred. Treatment following included supportive shoes, orthoses, time. The majority resolution their symptoms, but this took 6 to 12 months occur. remainder, were persisting Corticosteroid injections, although helpful treatment appear predispose rupture.