title: Percutaneous Ultrasonic Fasciotomy for Refractory Plantar Fasciopathy After Failure of a Partial Endoscopic Release Procedure.
abstract: Plantar fasciopathy is a painful, degenerative condition of the plantar fascia that affects 2 million people annually and has an estimated 10% lifetime prevalence. When both nonoperative and operative management fails, patients have limited therapeutic options. We present a case of an active 47-year-old male runner who was successfully treated with songraphically guided percutaneous ultrasonic fasciotomy after undergoing a prolonged course of nonoperative management and an endoscopic plantar fascia release procedure. Percutaneous ultrasonic fasciotomy may be considered in patients with chronic, refractory plantar fasciopathy, including those for whom a prior operative release procedure has failed.
authors: Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, Seattle, WA.
authors: Adam M
authors: AM
authors: Pourcho
authors: Departments of Orthopaedics & Rehabilitation and Family Medicine, University of Iowa Sports Medicine Center, University of Iowa Hospitals & Clinics, 2701 Prairie Meadow Dr, Iowa City, IA 52242.
authors: Mederic M
authors: MM
authors: Hall
mesh_terms: D004724:Endoscopy; D036981:Fasciitis, Plantar / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D059708:Ultrasonic Surgical Procedures