Does local steroid injection have a prognostic value for endoscopic plantar fascia release in chronic plantar fasciopathy?

IF 2.2 3区医学 Q2 ORTHOPEDICS

BMC Musculoskeletal Disorders Pub Date : 2025-06-09 DOI:10.1186/s12891-025-08816-4

Mohamed A Mohamed, Mohammed S Redwan, Hassan H Noaman, Moustafa Elsayed

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引用次数: 0

Abstract

Purpose: To determine if previous local steroid injection can alter the patient response to endoscopic plantar fascia release.

Methods: It is a prospective non-randomized comparative study of 100 adult patients, suffered from plantar fasciopathy for at least one year, and had reported either temporary or no response to two or more of conservative treatments, including local corticosteroid injection. Enrolled patients were non-randomly allocated by convenience sampling into two groups. The first 50 patients who reported improvement in response to local corticosteroid injection were allocated to Group (A) The first 50 patients who did not report any improvement after injection were allocated to group (B) Both groups underwent endoscopic plantar fascia release. Clinical evaluation was carried out using the visual analogue scale (VAS), American Orthopaedic Foot and Ankle-Hindfoot Scale (AOFAS) and Patient self-assessment (Roles and Maudsley score) preoperatively and at 4, 8 weeks, 3, 6, 12, and 24 months postoperatively.

Results: Both groups showed a statistically significant improvement in VAS for heel pain, AOFAS score, and Roles and Maudsley score. Group A demonstrated significantly better VAS, AOFAS, and self-assessment scores than group B at different follow-up intervals. Furthermore, trajectory analysis showed faster pain relief and functional recovery was observed in group A compared to group B.

Conclusion: Patients who experienced temporary improvement after local corticosteroid injection had better clinical outcomes following endoscopic plantar fascia release.

Clinical trial number: Not applicable.

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局部类固醇注射对慢性足底筋膜病的内窥镜下足底筋膜释放有预后价值吗？

目的：确定以前局部注射类固醇是否会改变患者对内窥镜下足底筋膜释放的反应。方法：这是一项前瞻性非随机对照研究，研究对象为100名成年足底筋膜病患者，患者至少患有一年足底筋膜病，并对两种或两种以上的保守治疗（包括局部皮质类固醇注射）有暂时或无反应。入选患者采用方便抽样法非随机分为两组。前50例局部皮质类固醇注射后反应改善的患者被分配到(A)组，前50例注射后未报告任何改善的患者被分配到(B)组。两组都进行了内窥镜下足底筋膜释放。术前及术后4、8周、3、6、12、24个月采用视觉模拟量表（VAS）、American Orthopaedic Foot and ankle -后足量表（AOFAS）和患者自我评价（Roles and Maudsley评分）进行临床评价。结果：两组患者足跟疼痛VAS评分、AOFAS评分、Roles和Maudsley评分均有统计学显著改善。不同随访时间A组VAS、AOFAS、自评评分均显著高于B组。此外，轨迹分析显示，与b组相比，A组疼痛缓解和功能恢复更快。结论：局部皮质类固醇注射后短暂改善的患者在内镜下足底筋膜释放后具有更好的临床结果。临床试验号：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.