Etiology
Plantar fasciitis / cortisone injections
Athletes - soccer players, NFL
Mosca et al Foot Ankle Spec 2022
- systematic review of 155 feet
- 8% spontaneous
- 89% associated with plantar fasciitis
- 84% associated with cortisone injection
History
Sudden onset acute during athletics
Examination
Focal tenderness
+/- loss longitudinal arch
Pathology
Often incomplete
- 18 athletes with plantar fascia rupture
- all but 2 were ruptures of medial band
MRI
Tearing of insertion of plantar fascia
Management
Nonoperative
Indication
Incomplete tears
Technique
Rigid boot 2 - 6 weeks
Results
- 18 athletes with plantar fascia rupture
- all incomplete tears
- all treated non operatively
- return to sport at mean 2 - 26 weeks
Operative
Indication
Complete tear
Loss of longitudinal arch
Results
Schaarup et al J Foot Ankle Surg 2020
- 5 athletes with total rupture of plantar fascia
- 2 treated with surgery and returned to sport at 12 months
- better results with surgery