Plantar fasciitis is a common cause of plantar heel pain; however, a broad spectrum of disorders may also present with plantar heel pain. A detailed history, physical examination, laboratory testing, and imaging studies may be necessary to reach an accurate diagnosis. Herein, the clinical presentation of a 33-year-old woman with calcaneal insufficiency fracture secondary to celiac disease–induced osteomalacia is presented, and its diagnosis and treatment are discussed. Calcaneal insufficiency fractures should be kept in mind in a patient with celiac disease that presents with heel pain.
Level of Evidence: Therapeutic, Level IV: Case study
LareauCRSawyerGAWangJHDiGiovanniCW. Plantar and medial heel pain: diagnosis and management. J Am Acad Orthop Surg. 2014;22:372-380.
2.
TuPBytomskiJR. Diagnosis of heel pain. Am Fam Physician. 2011;84:909-916.
3.
DaffnerRHPavlovH. Stress fractures: current concepts. AJR Am J Roentgenol. 1992;159:245-252.
4.
GehrmannRMRenardRL. Current concepts review: stress fractures of the foot. Foot Ankle Int. 2006;27:750-757.
5.
Krupa-KozakU. Pathologic bone alterations in celiac disease: etiology, epidemiology, and treatment. Nutrition. 2014;30:16-24.
6.
WeberJMVidtLGGehlRSMontgomeryT. Calcaneal stress fractures. Clin Podiatr Med Surg. 2005;22:45-54.
7.
SormaalaMJNivaMHKiuruMJMattilaVMPihlajamäkiHK. Stress injuries of the calcaneus detected with magnetic resonance imaging in military recruits. J Bone Joint Surg Am. 2006;88:2237-2242.
8.
DodsonNBDodsonEEShromoffPJ. Imaging strategies for diagnosing calcaneal and cuboid stress fractures. Clin Podiatr Med Surg. 2008;25:183-201.
9.
HeikkiläKPearceJMäkiMKaukinenK. Celiac disease and bone fractures: a systematic review and meta-analysis. J Clin Endocrinol Metab. 2015;100:25-34.
