Plantar Fascia Partial Rupture

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Plantar Fascia Partial Rupture

Authors, Editors, Case Information Author: Liga Kreitner, MD, MPH Affiliation: Mayo Clinic Co Author(s): Joshua M. Romero, M.D. and Jacob L. Sellon, M.D. Senior Editor: Carlton Covey, MD, MEd Clinical Vignette: 26-year-old female with a three-year history of right plantar heel pain presents with worsening of her symptoms four months after a corticosteroid injection for plantar fasciopathy. Examination is remarkable for tenderness to palpation over the medial plantar heel, specifically over the medial calcaneal tubercle. Type of Probe Used: 4-18 MHz linear array transducer #1 - Video View Video Long axis view of the plantar fascia central cord origin, redemonstrating a full-thickness tear. The intact medial and lateral portions of the central cord origin, just adjacent to the tear, appear mildly thickened with partial loss of fibrillar architecture, suggesting underlying fasciosis. #2 - Video View Video Short axis view of the plantar fascia central cord origin, redemonstrating a partial-width dimension of the tear as well as adjacent fasciosis in the intact medial and lateral portions of the central cord. #3 - Image Short axis view of the plantar fascia central cord origin, demonstrating partial-width dimension of the tear (measuring 6.3 mm medial to lateral). Note the thickened, hypoechoic, fasciopathic intact portion lateral to the tear (arrowhead). #4 - Image Short axis view of the plantar fascia central cord origin. #5 - Image Long axis view of the plantar fascia with a hypoechoic, concave region with loss of normal fibrillar architecture within the central portion of the central cord (measuring 6.3 mm anterior to posterior), representing a full-thickness tear. There is no hematoma, indicating subacute or chronic age. Plantar calcaneal enthesophyte () noted deep to the tear. #6 - Image Long axis view of the plantar fascia central cord origin. Interpretation Image Interpretation:* The central portion of the plantar fascia central cord demonstrates a hypoechoic region with loss of volume and fibrillar architecture, consistent with a full-thickness, partial-width tear. There is no associated hematoma, suggesting at least subacute chronicity. The intact medial and lateral portions of the central cord are mildly thickened with partial loss of fibrillar architecture, consistent with underlying fasciosis. Teaching Pearl: Plantar fasciopathy most commonly involves the proximal one-third of the plantar fascia, with the central cord more commonly affected than the lateral and medial cords. Hypoechogenicity and loss of fibrillar architecture is a hallmark feature of fasciopathies, with accompanied diffuse thickening (greater than 4 mm in the central cord origin) suggestive of degenerative fasciosis, while fascia thinning/volume loss signals high-grade tearing. Hematoma/fluid is a helpful sonographic finding, delineating an acute plantar fascia tear, but is typically not present in subacute or chronic tears. Although plantar fascia rupture is uncommon, it has been associated with corticosteroid injection, and clinicians should consider this diagnosis even in the absence of a clear injury mechanism.
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back		Top

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek

Authors, Editors, Case Information

#1 - Video

#2 - Video

#3 - Image

#4 - Image

#5 - Image

#6 - Image

Interpretation

UPCOMING EVENTS

FIND A SPORTS DOC