Murphy G A, Pneumaticos S G, Kamaric E, Noble P C, Trevino S G, Baxter D E
University of Tennessee-Campbell Clinic, Department of Orthopaedic Surgery, Memphis, USA.
Foot Ankle Int. 1998 Mar;19(3):149-52. doi: 10.1177/107110079801900306.
Plantar fascia release has long been a mainstay in the surgical treatment of persistent heel pain, although its effects on the biomechanics of the foot are not well understood. With the use of cadaver specimens and digitized computer programs, the changes in the medial and lateral columns of the foot and in the transverse arch were evaluated after sequential sectioning of the plantar fascia. Complete release of the plantar fascia caused a severe drop in the medial and lateral columns of the foot, compared with release of only the medial third. Equinus rotation of the calcaneus and a drop in the cuboid indicate that strain of the plantar calcaneocuboid joint capsule and ligament is a likely cause of lateral midfoot pain after complete plantar fascia release.
长期以来，足底筋膜松解术一直是持续性足跟痛外科治疗的主要手段，尽管其对足部生物力学的影响尚未完全明确。通过使用尸体标本和数字化计算机程序，在对足底筋膜进行连续切断后，评估了足内侧柱、外侧柱及横弓的变化。与仅松解内侧三分之一的足底筋膜相比，完全松解足底筋膜会导致足内侧柱和外侧柱严重下降。跟骨马蹄形旋转和骰骨下降表明，足底跟骰关节囊和韧带的牵张可能是足底筋膜完全松解后中足外侧疼痛的原因。
