Abstract

The plantar fascia has long been considered to have a significant purpose in the weightbearing foot, both in static stance and in dynamic function. Various functional and structural roles have been indicated by virtue of its anatomical attachments. This paper aims to review the anatomy and biomechanical considerations of the plantar fascia and, in particular, its central component known as the plantar aponeurosis. Static and dynamic roles of the plantar aponeurosis will be discussed with emphasis placed on the dynamic ‘windlass mechanism’ phenomenon exhibited on first metatarsophalangeal joint dorsiflexion, leading to further indications for research on its role in plantar fascial injury and the pronated or pes planus foot.

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