Biomechanical consequences of sequential plantar fascia release

wbldb

Murphy, G. Andrew¹; Pneumaticos, Spiros G.¹; Kamaric, Emir¹; Noble, Phillip C.¹; Trevino, Saul G.¹; Baxter, Donald E.¹

Biomechanical consequences of sequential plantar fascia release

Foot Ankle Int. 1998;19(3):149-152

Abstract

Plantar fascia release has long been a mainstay in the surgical treatment of persistent heel pain, although its effects on the biomechanics of the foot are not well understood. With the use of cadaver specimens and digitized computer programs, the changes in the medial and lateral columns of the foot and in the transverse arch were evaluated after sequential sectioning of the plantar fascia. Complete release of the plantar fascia caused a severe drop in the medial and lateral columns of the foot, compared with release of only the medial third. Equinus rotation of the calcaneus and a drop in the cuboid indicate that strain of the plantar calcaneocuboid joint capsule and ligament is a likely cause of lateral midfoot pain after complete plantar fascia release.
Links

PubMed: 9542985

WoS: 000072564400006

Cited Works (4)

Year	Entry
1987	Sarrafian SK. Functional characteristics of the foot and plantar aponeurosis under tibiotalar loading. Foot Ankle. 1987;8(1):4-18.
1993	Huang C-K, Kitaoka HB, An K-N, Chao EYS. Biomechanical evaluation of longitudinal arch stability. Foot Ankle. July–August 1993;14(6):353-357.
1954	Hicks JH. The mechanics of the foot, II: the plantar aponeurosis and the arch. J Anat. 1954;88(pt 1):25-30.
1992	Daly PJ, Kitaoka HB, Chao EYS. Plantar fasciotomy for intractable plantar fasciitis: clinical results and biomechanical evaluation. Foot Ankle. 1992;13(4):188-195.

Cited By (16)

Year	Entry
2007	Yang Y, Yu G, Niu W, Zhou J, Chen Y, Yuan F, Ding Z. Effect of the plantar ligaments injury on the longitudinal arch height of the human foot. In: Li K, li X, Irwin GW, He G, eds. Life System Modeling and Simulation. International Conference, LSMS 2007; September 2007; Shanghai, China. Berlin: Springer-Verlag:111-119. Lecture Notes in Computer Science; vol 4689.
2004	Cheung JT-M, Zhang M, An K-N. Effects of plantar fascia stiffness on the biomechanical responses of the ankle–foot complex. Clin Biomech (Bristol, Avon). October 2004;19(8):839-846.
2006	Cheung JT-M, Zhang M, An K-N. Effect of Achilles tendon loading on plantar fascia tension in the standing foot. Clin Biomech (Bristol, Avon). February 2006;21(2):194-203.
2010	Natali AN, Pavan PG, Stecco C. A constitutive model for the mechanical characterization of the plantar fascia. Connect Tissue Res. 2010;51(5):337-346.
2000	Carlson RE, Fleming LL, Hutton WC. The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot Ankle Int. January 2000;21(1):18-25.
2003	Crary JL, Hollis JM, Manoli A II. The effect of plantar fasci release on strain in the spring and long plantar ligaments. Foot Ankle Int. 2003;24(3):245-250.
2006	Cheung JT-M, An K-N, Zhang M. Consequences of partial and total plantar fascia release: a finite element study. Foot Ankle Int. 2006;27(2):125-132.
2000	Fuller EA. The windlass mechanism of the foot: a mechanical model to explain pathology. J Am Podiatr Med Assoc. 2000;90(1):35-46.
2008	Cheng H-YK, Lin C-L, Wang H-W, Chou S-W. Finite element analysis of plantar fascia under stretch: the relative contribution of windlass mechanism and Achilles tendon force. J Biomech. 2008;41(9):1937-1944.
2010	Iaquinto JM, Wayne JS. Computational model of the lower leg and foot/ankle complex: application to arch stability. J Biomech Eng. February 2010;132(2):021009.
2004	Erdemir A, Hamel AJ, Fauth AR, Piazza SJ, Sharkey NA. Dynamic loading of the plantar aponeurosis in walking. J Bone Joint Surg. March 2004;86A(3):546-552.
2008	Flavin R, Halpin T, O'Sullivan R, FitzPatrick D, Ivankovic A, Stephens MM. A finite-element analysis study of the metatarsophalangeal joint of the hallux rigidus. J Bone Joint Surg. 2008;90B(10):1334-1340.
2005	Cheung TMJ. Development of Knowledge-Based Criteria for Designing Foot Orthoses [PhD thesis]. Hong Kong Polytechnic University; October 2005.
2021	Mettler JH. Strain Estimations of the Plantar Fascia and Other Ligaments of the Foot: Implications for Plantar Fasciitis [PhD thesis]. Iowa State University; 2021.
2002	Erdemir A. Load Transfer Mechanisms of the Foot [PhD thesis]. State College, PA: Pennsylvania State University; December 2002.
2010	Iaquinto JM. The Design and Validation of a Novel Computational Simulation of the Leg for the Investigation of Injury, Disease, and Surgical Treatment [PhD thesis]. Richmond, VA: Virginia Commonwealth University; May 2010.