Endoscopic treatment of calcaneal spur syndrome: A comprehensive technique

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
C E BlancoT B Guthrie

Abstract

We describe a comprehensive approach to the endoscopic treatment of calcaneal spur syndrome developed by the Arthroscopic Group of the Orthopedic Service of Hospital Hermanos Ameijeiras in Havana, Cuba. The surgical technique involves treatment of the heel spur and plantar fasciitis commonly found in calcaneal spur syndrome, but it also addresses adjacent calcaneal periostitis and allows decompression of the nerve to the abductor digiti quinti. Medial endoscopy and lateral instrumentation are used in a sequential approach with exposure and debridement of the posterior roof of the calcaneal arch, followed by removal of the calcaneal spur, lateral to medial release of the medial 75% of the plantar fascia, and if necessary, debridement of the calcaneal tuberosity periosteum. This technique was used in a prospective case series from June 1997 to May 1998 to treat a select group of 38 feet in 30 patients who reported unacceptable levels of pain despite 5 months of conservative treatment, which included an aggressive 8-week physical therapy program prescribed by the treating physician. Good to excellent results were obtained at 3 months postoperatively in all patients with regard to pain relief and return to normal activity, although...Continue Reading

References

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Citations

Mar 14, 2013·International Orthopaedics·Caio NeryNicola Maffulli
Oct 17, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Wataru MiyamotoMasato Takao
Jun 22, 2007·Archives of Orthopaedic and Trauma Surgery·Tun Hing Lui
Feb 2, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Finn JohannsenMichael Rindom Krogsgaard
Feb 1, 2005·Foot & Ankle International·Kathleen A HoganMichael Shereff
Aug 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Tun Hing Lui

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