Ultrasonographic appearance of the plantar fasciitis


      Purpose: To study high frequency sonographic in the examination of plantar fasciitis (PF), which is a common cause of heel pain. Materials and methods: Our study was done with 25 PF (21 unilateral, 4 bilateral) and 15 control cases of similar age, weight and gender. In this study, the plantar fascial thickness (mainly), fascial echogenity and biconvexity were examined using 7.5 MHz linear phase array transducer. Perifascial fluid collection, fascial rupture and fascial calcification that are rarely seen were also examined. Results: The fascial thickness ranges for the PF cases: for the symptomatic heels: 3.9–9.1 mm (mean: 4.75±1.52 mm), for the asymptomatic heels: 2.0–5.9 mm (mean: 3.37±1.0 mm) and for the control group: 2.1–4.7 mm (3.62±0.68 mm). The results were significantly different in Group I for symptomatic heels and the control group statistically for PF (P<.05). The echogenity of plantar fascia and biconvexity of plantar fascia were the major criteria for symptomatic heels. In three heels (10%), perifascial fluid was diagnosed, in three heels (10%) fascial calcification, in one heel (3%) partial fascial rupture. Subcalcaneal spur was encountered sonographically in both cases of Groups I and II. Conclusion: Ultrasonography (US) is the first step for PF, because of its easy and quick performance, availability and high sensitivity of diagnosis, low-cost and free radiation.


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        • Gibbon WW
        • Long G
        Ultrasound of the plantar aponeurosis (fascia).
        Skelet Radiol. 1999; 28: 21-26
        • Baxter DE
        The heel in sports.
        Clin Sports Med. 1994; 13: 683-693
        • Hill JJ
        • Cutting PJ
        Heel pain and body weight.
        Foot Ankle. 1989; 9: 254-256
        • Kamel M
        • Kotob H
        High frequency ultrasonographic findings in plantar fasciitis and assessment of local steroid injection.
        J Rheumatol. 2000; 27: 2139-2141
        • Tsai CW
        • Chiu MF
        • Wang CL
        • Tang FT
        • Wong MK
        Ultrasound evaluation of plantar fasciitis.
        Scand J Rheumatol. 2000; 29: 255-259
        • DeMaio M
        • Paine R
        • Mangine RE
        • Drez D
        Plantar fasciitis.
        Orthopedics. 1993; 16: 1153-1163
        • Wolgin M
        • Cook C
        • Graham C
        • Mauldin D
        Conservative treatment of plantar heel pain: long term follow up.
        Foot Ankle. 1994; 15: 97-102
        • Williams PL
        • Smibert JC
        • Cox R
        • Mitchell R
        • Klenerman L
        Imaging study of the painful heel syndrome.
        Foot Ankle. 1987; 7: 345-349
        • Intenzo CM
        • Wapner KL
        • Park CH
        • Kim SM
        Evaluation of plantar fasciitis by three phase bone scintigraphy.
        Clin Nucl Med. 1991; 16: 325-328
        • Williams PL
        The painful heel.
        Br J Hosp Med. 1987; 164: 562-563
        • Berkowitz JF
        • Kier R
        • Rudicel S
        Plantar fasciitis: MR imaging.
        Radiology. 1991; 179: 665-667
        • Thordarson DB
        • Schmotzer H
        • Chon J
        • Peter J
        Dynamic support of the human longitudinal arch: a biomechanical evaluation.
        Clin Orthop. 1995; 316: 165-172
        • Torg JS
        • Pavlov H
        • Torg E
        Overuse injuries in sport: the foot.
        Clin Sports Med. 1987; 6: 291-320
        • McKenzle DC
        • Clement DB
        • Taunton JE
        Running shoes, orthotics, and injuries.
        Sports Med. 1985; 2: 334-337
        • Cardinal E
        • Chhem RK
        • Beauregard CG
        • Aubin B
        • Pelletier M
        Plantar fasciitis: sonographic evaluation.
        Radiology. 1996; 201: 257-259
        • Rubin G
        • Witten W
        Plantar calcaneal spurs.
        Am J Orthop. 1963; 5: 38-41
        • Tanz SS
        Heel pain.
        Clin Orthop. 1963; 28: 169-178
        • Gibbon WW
        • Long G
        Plantar fasciitis: US evaluation (letter).
        Radiology. 1997; 203: 290
        • Lutter LD
        Surgical decisions in athletes subcalcaneal pain.
        Am J Sports Med. 1986; 14: 481-485
        • Tsai WC
        • Wang CL
        • Tang FT
        • Hsu TC
        • Hsu KH
        • Wong WK
        Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection.
        Arch Phys Med Rehabil. 2000; 81: 1416-1421
        • Lester DK
        • Buchanan RJ
        Surgical treatment of plantar fasciitis.
        Clin Orthop. 1984; 186: 202-204