ArticleScientific reports2020
An ossifying bridge - on the structural continuity between the Achilles tendon and the plantar fascia.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 28 citations in OpenAlex.
- The Trapezius Aponeurosis Insertion on the Acromion: An Anatomical Study with a Possible Implication for Dynamic Stabilization of the Acromioclavicular Joint.The Journal of bone and joint surgery. American volume · 2026Article
- Crosado embalming related alterations in the morpho-mechanics of collagen rich tissues.Scientific reports · 2025Article
- Spontaneous rupture of the plantar fascia: a case report.Frontiers in rehabilitation sciences · 2024Article
- Immediate effects of elastic tape application on the foot sole: a randomized controlled trial.Journal of physical therapy science · 2023Article
- Characteristics of Pressure on the Apophysis in the Course of Paediatric Heel Pain-Preliminary Report.International journal of environmental research and public health · 2023Article
- Myofascial Treatment Techniques on the Plantar Surface Influence Functional Performance in the Dorsal Kinetic Chain.Journal of sports science & medicine · 2022Article
- Does the Calcaneus Serve as Hypomochlion within the Lower Limb by a Myofascial Connection?-A Systematic Review.Life (Basel, Switzerland) · 2021Review
- Why heel spurs are traction spurs after all.Scientific reports · 2021Article
- On the morphological relations of the Achilles tendon and plantar fascia via the calcaneus: a cadaveric study.Scientific reports · 2021Article
- Biomechanical characterization of human temporal muscle fascia in uniaxial tensile tests for graft purposes in duraplasty.Scientific reports · 2021Article
- Elasticity of the Achilles Tendon in Individuals With and Without Plantar Fasciitis: A Shear Wave Elastography Study.Frontiers in physiology · 2021Article
- What is Considered a Variation of Biomechanical Parameters in Tensile Tests of Collagen-Rich Human Soft Tissues? - Critical Considerations Using the Human Cranial Dura Mater as a Representative Morpho-Mechanic Model.Medicina (Kaunas, Lithuania) · 2020Article
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Authors and funding
5 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Highly regular aligned trabeculae are found in the superficial posterior and inferior calcaneus appearing to connect the Achilles tendon (AT) to the plantar fascia (PF) in a bridge-like manner. This provides a morphological basis for the stretching-based heel pain treatment. However, the continuity of collagen fibres between the AT and the PF remains debated controversially to date. The given study morphologically investigated the AT-calcaneus-PF complex using histology and plastination. Moreover, the AT-calcaneus-PF complex was biomechanically mapped based on 13 sub-regions with a total of 76 tested samples. Regular calcaneal trabeculae were surrounded by tendon-like collagen fibre bundles and adipocytes. The orientation of calcaneal trabeculae was further closely related to the course of the PF collagen fibre bundles. The pooled biomechanical analysis revealed low elastic moduli (minimum = 4 MPa) and ultimate tensile strengths of the decalcified calcaneal samples (minimum = 0.4 MPa) and the calcaneal periostea (minimum = 2 MPa) and high respective values (elastic modulus maximum of 144 MPa; ultimate tensile strength maximum of 29 MPa) for the PF samples compared to the other sub-regions. This study provides structural evidence for a morphological connection between the AT and PF via the highly aligned calcaneal trabeculae of the posterior calcaneus. The AT-calcaneus-PF complex was biomechanically mapped to allow for an assessment of its site-dependent mechanical characteristics.
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