Plantar fascia rupture

 

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

 

Costa et al Cureus 2023

- rupture of lateral fascicle

- treated non operative in semipro soccer player

- full return to play

 

MRI

 

Tearing of insertion of plantar fascia