#18435
Stephen Bird
Keymaster

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.

Steve

Stay in Touch

Sending

Log in with your credentials

Forgot your details?