Plantar fasciitis: a degenerative process (fasciosis) without inflammation.
The authors review histologic findings from 50 cases of heel spur surgery for chronic plantar fasciitis. Findings include myxoid degeneration with fragmentation and degeneration of the plantar fascia and bone marrow vascular ectasia. Histologic findings are presented to support the thesis that "plantar fasciitis" is a degenerative fasciosis without inflammation, not a fasciitis. These findings suggest that treatment regimens such as serial corticosteroid injections into the plantar fascia should be reevaluated in the absence of inflammation and in light of their potential to induce plantar fascial rupture.
Lemont
Harvey
H
Temple University School of Podiatric Medicine, Philadelphia, PA 19107, USA.
Ammirati
Krista M
KM
Usen
Nsima
N
D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D005205:Fascia / Q000293:injuries; D036981:Fasciitis, Plantar / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D007267:Injections; D012421:Rupture / Q000139:chemically induced
D000305:Adrenal Cortex Hormones