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- Title
Unexpected sequelae of plantar fasciitis: latrogenic calcaneal osteomyelitis following plantar heel injection.
- Authors
S., Mohd Khalid; M. Y., Bajuri
- Abstract
The injection of a local anesthetic in combination with a corticosteroid is an accepted choice in the treatment of plantar fasciitis with recalcitrant heel pain. When the injection is performed properly, post-injection infection is extremely rare. We are reporting a rare case of chronic calcaneal osteomyelitis that developed secondary to a local corticosteroid injection. A 56-year-old lady diagnosed with right plantar fasciitis presented with a 6-month history of pain and a persistent sinus with serous discharge of her right heel following a local infiltration of a corticosteroid. A Magnetic Resonance Imaging demonstrated right calcaneal osteomyelitis with intramuscular abscess. Surgical drainage and debridement were done, followed by antibiotic therapy. A recurrence of infection was not detected throughout the duration of follow-up. It is suggested that a plantar heel injection be done in a more controlled environment, such as in operating theatre, to reduce the risk of infection and to avoid injecting a steroid as compared to platelet-rich plasma (PRP) in view of their safety profiles. However, such an injection should only be offered after conservative treatment has failed, as 80% of patients recover well after initial conservative management.
- Subjects
PLANTAR fasciitis; OSTEOMYELITIS; HEEL pain; PLATELET-rich plasma; DISEASE complications; INJECTIONS
- Publication
Malaysian Family Physician, 2019, Vol 14, Issue 3, p80
- ISSN
1985-207X
- Publication type
Article