Do the fasciae of the soleus have a role in plantar fasciitis?

Autor: Ryskalin L; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.; Center for Rehabilitative Medicine 'Sport and Anatomy', University of Pisa, Pisa, Italy., Morucci G; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.; Center for Rehabilitative Medicine 'Sport and Anatomy', University of Pisa, Pisa, Italy., Soldani P; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.; Center for Rehabilitative Medicine 'Sport and Anatomy', University of Pisa, Pisa, Italy., Gesi M; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.; Center for Rehabilitative Medicine 'Sport and Anatomy', University of Pisa, Pisa, Italy.
Jazyk: angličtina
Zdroj: Clinical anatomy (New York, N.Y.) [Clin Anat] 2024 May; Vol. 37 (4), pp. 413-424. Date of Electronic Publication: 2023 Aug 04.
DOI: 10.1002/ca.24102
Abstrakt: Plantar fasciitis is a chronic, self-limiting, and painful disabling condition affecting the inferomedial aspect of the heel, usually extending toward the metatarsophalangeal joints. There is compelling evidence for a strong correlation between Achilles tendon (AT) loading and plantar aponeurosis (PA) tension. In line with this, tightness of the AT is found in almost 80% of patients affected by plantar fasciitis. A positive correlation has also been reported between gastrocnemius-soleus tightness and heel pain severity in this condition. Despite its high prevalence, the exact etiology and pathological mechanisms underlying plantar heel pain remain unclear. Therefore, the aim of the present paper is to discuss the anatomical and biomechanical substrates of plantar fasciitis with special emphasis on the emerging, though largely neglected, fascial system. In particular, the relationship between the fascia, triceps surae muscle, AT, and PA will be analyzed. We then proceed to discuss how structural and biomechanical alterations of the muscle-tendon-fascia complex due to muscle overuse or injury can create the conditions for the onset of PA pathology. A deeper knowledge of the possible molecular mechanisms underpinning changes in the mechanical properties of the fascial system in response to altered loading and/or muscle contraction could help healthcare professionals and clinicians refine nonoperative treatment strategies and rehabilitation protocols for plantar fasciitis.
(© 2023 The Authors. Clinical Anatomy published by Wiley Periodicals LLC on behalf of American Association of Clinical Anatomists and British Association of Clinical Anatomists.)
Databáze: MEDLINE
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