Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
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- dc.contributor.author Ginés-Cespedosa, Alberto
- dc.contributor.author Ugarte, Ignacio Wormull
- dc.contributor.author Ares-Vidal, Jesús
- dc.contributor.author Solano-López, Alberto
- dc.contributor.author Adames, Daniel Bianco
- dc.contributor.author Gamba, Carlo
- dc.date.accessioned 2022-09-19T06:18:57Z
- dc.date.available 2022-09-19T06:18:57Z
- dc.date.issued 2021
- dc.description.abstract Background: Magnetic resonance imaging (MRI) has been used as a diagnostic and prognostic instrument to evaluate the results of conservative treatment for plantar fasciitis. However, there are scarce data available relative to changes in the plantar fascia after operative treatment. The primary objective of this study is to evaluate the imaging changes in patients with recalcitrant plantar fasciitis treated operatively by means of proximal medial gastrocnemius release. Methods: Thirteen patients with recalcitrant plantar fasciitis were studied with MRI preoperatively and 1 year after operative treatment. Quantitative (plantar fascia thickness) and qualitative variables (hyperintensity in the plantar fascia, insertional calcaneus bone edema, a plantar fascia tear, and the presence of perifascial collections) were assessed by 2 musculoskeletal radiologists. Clinical results were also measured with American Orthopaedic Ankle & Society (AOFAS), visual analog scale (VAS) pain, and 36-Item Short Form Health Survey (SF-36) scales. Results: The mean plantar fascia thickness was 6.59 mm preoperatively and 6.37 mm postoperatively (P = .972). No statistically significant differences were found in any of the qualitative variables on comparing the pre- and postoperative periods. Patients reported clinical improvements in pain VAS, AOFAS measurement, and the physical subdomains of the SF-36 scale. Conclusion: Quantitative and qualitative variables assessed for the plantar fascia on MRI did not show any significant change after medial gastrocnemius release despite clear clinical improvement. Level of evidence: Level II, perspective cohort study.
- dc.format.mimetype application/pdf
- dc.identifier.citation Ginés-Cespedosa A, Ugarte IW, Ares-Vidal J, Solano-Lopez A, Adames DB, Gamba C. Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis. Foot Ankle Orthop. 2021 Jul 15;6(3):24730114211027323. DOI: 10.1177/24730114211027323
- dc.identifier.doi http://dx.doi.org/10.1177/24730114211027323
- dc.identifier.issn 2473-0114
- dc.identifier.uri http://hdl.handle.net/10230/54099
- dc.language.iso eng
- dc.publisher SAGE Publications
- dc.relation.ispartof Foot Ankle Orthop. 2021 Jul 15;6(3):24730114211027323
- dc.rights © The Author(s) 2021. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri https://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword MRI
- dc.subject.keyword Plantar fasciitis
- dc.subject.keyword Proximal medial gastrocnemius release
- dc.title Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion