Computer-assisted assessment of lateral column movement following plantar fascial release: a cadaveric study

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
D J AndersonT Savoy-Moore

Abstract

In patients who fail conservative treatment, releasing the plantar fascia relieves heel pain but destabilizes the lateral column of the foot. After surgery, pain can present in the area of the sinus tarsi, extensor digitorum brevis muscle, between the fourth and fifth metatarsals, and at the calcaneocuboid joint. The precise mechanism and involved structures for this painful compensation remains unclear. The authors hypothesized that the lateral plantar fascial band, bifurcate and cervical ligaments, lateral talocalcaneal ligament, and interosseous talocalcaneal ligament become excessively strained after this surgery. Using eight cadaver lower extremity limbs amputated 7 cm above the ankle joint, structural changes in the foot in response to staged release of the plantar fascia were measured. All ligament, tendon, and osseous structures were exposed along the plantar, medial, and lateral aspects of the foot and ankle. Using a servohydraulic system, compressive loads in increasing increments (50 lbs) were applied along the tibial axis. Tissue and bony structure displacement in the foot was measured using images electronically captured from two fixed cameras and a digital camera following each load change. All measurements were m...Continue Reading

Citations

Jun 27, 2006·Sports Medicine·Scott C WearingAndrew P Hills
Jan 29, 2010·Emergency Radiology·Aditya Bahel, Joseph S Yu
Mar 14, 2013·International Orthopaedics·Caio NeryNicola Maffulli
Jun 10, 2003·Foot & Ankle International·Jay L CraryArthur Manoli
Apr 22, 2009·Archives of Orthopaedic and Trauma Surgery·Wataru MiyamotoYuji Uchio
May 11, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Amit ShahWinston J Rennie
Feb 21, 2006·Foot & Ankle International·Jason Tak-Man CheungMing Zhang
Sep 12, 2006·Clinics in Sports Medicine·Scot E Campbell
Dec 26, 2002·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Annette M BrughRuth T Savoy-Moore

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