Stephen Bird

This is an interesting one,

It is not conventional plantar fasciitis,

I Don’t think it is plantar fibromatosis either.

Given the patients age I think a focal nodular fasciosis would also be unlikely.

With the history of martial arts trauma I think it must be an acute injury.

I would go for a partial tear of the fascia and associated healing / fibrosis. This would explain the small cystic area and also the vascularity.

I often wonder if patients with standard type plantar fasciitis begin this way. Often I can see a small linear split in the fascia and there is an enthesis defect at the calcaneum. When you take a clinical history the patient recalls an acute event which has been the catalyst for the plantar fasciitis.

Nice case.


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