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Journal of the American Podiatric Medical Association
Volume 92 Number 10 532-536 2002
Copyright © 2002 American Podiatric Medical Association

Sectioning the Plantar Fascia

Effect on First Metatarsophalangeal Joint Motion

Francois M. Harton, DPM*, Steven A. Weiskopf, DPM{dagger} and Robert M. Goecker, DPM{ddagger}

* Submitted during third-year residency, Northlake Regional Medical Center, Tucker, GA; Member, The Podiatry Institute, Tucker, GA; private practice, 904 S Washington, Ste 130, Holland, MI 49423.
{dagger} Submitted during second-year residency, Northlake Regional Medical Center, Tucker, GA; Member, The Podiatry Institute, Tucker, GA; private practice, Smyrna, GA.
{ddagger} Member, The Podiatry Institute, Tucker, GA; private practice, Sarasota, FL.

Abstract

A study on the effect of sectioning the plantar fascia on the range of motion at the first metatarsophalangeal joint is presented. Dorsiflexion and plantarflexion range-of-motion data from 18 patients who had no first metatarsophalangeal joint pathology and had undergone an in-step plantar fasciotomy for recalcitrant plantar fasciitis were analyzed. The average increase in dorsiflexion of the first metatarsophalangeal joint after plantar fascia release was 9.8°, which represented a statistically significant increase using a paired t-test. Thus release of the plantar fascia can be considered a potential adjunct to hallux limitus surgery. (J Am Podiatr Med Assoc 92(10): 532-536, 2002)






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Copyright © 2002 by the American Podiatric Medical Association.