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LO SCALPELLO-OTODI Educational

, Volume 30, Issue 3, pp 178–180 | Cite as

Trattamento della spina calcaneare

  • S. Ferranti
  • G. Picuti
  • S. Musiello
  • P. Mattei
  • M. Berloco
  • L. Pasotti
  • C. Farneti
  • L. Pennacchi
  • M. Breccia
  • A. Farneti
Aggiornamenti

Treatment of heel spur

Abstract

Plantar fasciitis, also known as “heel spur” because of the bony protrusion easily seen on X-ray examinations, is a common occurrence, not always easy to diagnose. This syndrome can be associated with pain after extensive walking or prolonged stand-in position and can worsen as the plantar fascia elongates. Heel spur is normally detected using several diagnostic tests such as X-rays, MRI and CT scans. This injury usually responds well to conservative, non-surgical treatment, and can therefore be treated with rest, so as to allow the inflammation to subside. If conservative treatment fails, surgery may be necessary. Surgical techniques include release of the plantar fascia and removal of the spur, if needed.

Notes

Conflitto di interesse

Gli autori S. Ferranti, G. Picuti, S. Musiello, P. Mattei, M. Berloco, L. Pasotti, A. Farneti, L. Pennacchi, M. Breccia e C. Farneti dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Bibliografia

  1. 1.
    Lemont H, Ammirati K, Usen N (2003) Plantar Fasciitis: a degenerative process (fasciosis) without acute inflammation. J Am Podiatr Med Assoc 93:234–237 CrossRefPubMedGoogle Scholar
  2. 2.
    Boberg J, Dauphinee D (2001) Plantar heel. In: Banks A, Downey M, Martin D, Miller S (eds) Comprehensive textbook of foot and ankle surgery. Williams & Wilkins, Philadelphia Google Scholar
  3. 3.
    Schepsis A, Leach R, Gorzyca J (1991) Planatr fasciitis: etiology, treatment, surgical results and review of the literature. Clin Orthop Relat Res 266:185–196 Google Scholar
  4. 4.
    Kelly A, Wainwright A, Winson I (1995) Spur formation and heel pain. Clin Orthop Relat Res 319:330 CrossRefGoogle Scholar
  5. 5.
    Rompe JD, Furia J, Weil L, Maffulli N (2007) Shock wave therapy for chronic plantar fasciopathy. Br Med Bull 81:183–208 CrossRefPubMedGoogle Scholar
  6. 6.
    Dailey JM (1991) Differential diagnosis and treatment of heel pain. Clin Podiatr Med Surg 8:153–166 PubMedGoogle Scholar
  7. 7.
    Abderson RB, Foster MD (1989) Operative treatment of subcalcaneal pain. Foot Ankle 9:317–323 CrossRefGoogle Scholar
  8. 8.
    Hassan FO (2009) Percutaneous fenestration of the anteromedial aspect of the calcaneus for resistant heel pain syndrome. Foot Ankle Surg 15(2):90–95 CrossRefPubMedGoogle Scholar
  9. 9.
    Yanbin X, Haikum C, Xiaofeng J et al. (2015) Treatment of chronic plantar fasciitis with percutaneous latticed plantar fasciotomy. J Foot Ankle Surg 54(5):856–859 CrossRefPubMedGoogle Scholar
  10. 10.
    Fallat LM, Cox JT, Chahal R et al. (2013) A retrospective comparison of percutaneous plantar fasciotomy and open plantar fasciotomy with heel spur resection. J Foot Ank Surg 52(3):288–290 CrossRefGoogle Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2016

Authors and Affiliations

  • S. Ferranti
    • 1
  • G. Picuti
    • 1
  • S. Musiello
    • 1
  • P. Mattei
    • 1
  • M. Berloco
    • 1
  • L. Pasotti
    • 1
  • C. Farneti
    • 1
  • L. Pennacchi
    • 1
  • M. Breccia
    • 1
  • A. Farneti
    • 1
  1. 1.Azienda Ospedaliera, FolignoTerniItalia

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