Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis

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 obje...

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Autores: Ginés-Cespedosa, Alberto, Ugarte, Ignacio Wormull, Ares-Vidal, Jesús, Solano-López, Alberto, Adames, Daniel Bianco, Gamba, Carlo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/54099
Acceso en línea:http://hdl.handle.net/10230/54099
http://dx.doi.org/10.1177/24730114211027323
Access Level:acceso abierto
Palabra clave:MRI
Plantar fasciitis
Proximal medial gastrocnemius release
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spelling Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitisGinés-Cespedosa, AlbertoUgarte, Ignacio WormullAres-Vidal, JesúsSolano-López, AlbertoAdames, Daniel BiancoGamba, CarloMRIPlantar fasciitisProximal medial gastrocnemius releaseBackground: 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.SAGE Publications202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/54099http://dx.doi.org/10.1177/24730114211027323reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésFoot Ankle Orthop. 2021 Jul 15;6(3):24730114211027323© 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).https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/540992026-05-29T05:05:01Z
dc.title.none.fl_str_mv Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
title Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
spellingShingle Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
Ginés-Cespedosa, Alberto
MRI
Plantar fasciitis
Proximal medial gastrocnemius release
title_short Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
title_full Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
title_fullStr Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
title_full_unstemmed Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
title_sort Clinical and plantar fascial morphologic changes after proximal medial gastrocnemius release treatment of recalcitrant plantar fasciitis
dc.creator.none.fl_str_mv Ginés-Cespedosa, Alberto
Ugarte, Ignacio Wormull
Ares-Vidal, Jesús
Solano-López, Alberto
Adames, Daniel Bianco
Gamba, Carlo
author Ginés-Cespedosa, Alberto
author_facet Ginés-Cespedosa, Alberto
Ugarte, Ignacio Wormull
Ares-Vidal, Jesús
Solano-López, Alberto
Adames, Daniel Bianco
Gamba, Carlo
author_role author
author2 Ugarte, Ignacio Wormull
Ares-Vidal, Jesús
Solano-López, Alberto
Adames, Daniel Bianco
Gamba, Carlo
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv MRI
Plantar fasciitis
Proximal medial gastrocnemius release
topic MRI
Plantar fasciitis
Proximal medial gastrocnemius release
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/54099
http://dx.doi.org/10.1177/24730114211027323
url http://hdl.handle.net/10230/54099
http://dx.doi.org/10.1177/24730114211027323
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Foot Ankle Orthop. 2021 Jul 15;6(3):24730114211027323
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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