Saxena Amol, Fullem Brian
Palo Alto Medical Foundation, Department of Sports Medicine, Palo Alto, California 94301, USA.
Am J Sports Med. 2004 Apr-May;32(3):662-5. doi: 10.1177/0363546503261727.
To educate sports medicine practitioners as to length of time for an athlete to return to activity after sustaining a rupture of the plantar fascia.
Athletic patients sustaining plantar fascia ruptures and subsequent treatment were reviewed. Diagnosis was based on clinical findings, although radiographic studies were done. Patients were treated for 2 to 3 weeks with a below-knee or high-top boot, nonweightbearing, with an additional 2 to 3 weeks of weightbearing in the boot. Patients used physical therapy.
Eighteen athletes, including 6 elite athletes, were evaluated. Mean age was 40.9 +/- 13.2 years. There were 12 males and 6 females. Mean postinjury follow-up was 42 months. Duration of prior plantar fascia symptoms ranged from 0 to 52 weeks. All but 2 ruptures were of the medial portion. Four patients had injections prior to rupture. Five patients wore orthoses preinjury; 14 wore orthoses postinjury. All patients returned to activity after 2 to 26 weeks (mean, 9.1 +/- 6.0 weeks). Running athletes predominantly composed the cohort; others played tennis, volleyball, and basketball.
Using the treatment protocol, patients sustaining plantar fascia rupture can achieve favorable results with complete return to activity. None of the 18 patients sustained reinjury, had postinjury sequelae, or necessitated surgery, contrary to other studies.
告知运动医学从业者运动员足底筋膜破裂后恢复活动所需的时间。
回顾了发生足底筋膜破裂并接受后续治疗的运动员患者。诊断基于临床发现，尽管也进行了影像学检查。患者使用膝下或高帮靴治疗2至3周，不负重，然后在靴内再负重2至3周。患者接受物理治疗。
评估了18名运动员，包括6名精英运动员。平均年龄为40.9±13.2岁。男性12名，女性6名。伤后平均随访42个月。先前足底筋膜症状的持续时间为0至52周。除2例破裂外，其余均为内侧部分破裂。4例患者在破裂前接受过注射。5例患者伤前佩戴矫形器；14例患者伤后佩戴矫形器。所有患者在2至26周（平均9.1±6.0周）后恢复活动。队列主要由跑步运动员组成；其他运动员从事网球、排球和篮球运动。
采用该治疗方案，足底筋膜破裂的患者可取得良好效果并完全恢复活动。与其他研究相反，这18例患者均未再次受伤、出现伤后后遗症或需要手术治疗。
