Learning objectives
The learning goal of the poster is to define the ultrasound features of plantar fasciitis which is the common cause of pain and discomfort in the heelof runners and dancers.
Background
Plantar fasciitis represents inflammation of the plantar fascia.
It is a very commoncause ofpain or discomfort in often very active patients like runnersor dancers.
It appears after long-term repetitive movements.
Apart from mecanical factors the causes can be degenerative or systemic such as avariety of reumatic diseases.The pain is located on the heel medially and is worse when stepping on heel.Conservative therapy is the preferred treatement.Plantar fascie are arranged to limit tangential mobility of the skin,
to hold down muscles and tendons in the sole...
Findings and procedure details
When scanning the patient lies prone,
the foot is in flexion (Fig.
2).
Transversal,
coronal and oblique views are performed using a 8 MHz linear probe.The normal finding is a 15 - 20 mm wide and 2 - 4 mm thinstratified bandoriginating on processus medialis tuberositas calcanei (Fig.
3).
The most common site ofplantar fasciitisis on the origin of aponeurosis (Fig.
4).There is always a collection of fluid around plantar aponeurosis (Fig.
5).There could be degenerative changes like calcifications(spina calcaeni inferior inc.)in its origin (Fig....
Conclusion
Ultrasound findings of plantar fasciitis include hipoechoic and thickened plantar aponeurosis and collection of fluid around it.
This caracteristis manifestations are helpful in diagnosing the disease entity.
Personal information
Mojca Janžekovič van Midden,
M.D.,
radiologist
Specialistična ordinacija za ultrazvok
Gabrje pri Stični 6,
1295 Ivančna Gorica
Mali trg 8,
1000 Ljubljana
[email protected]
References
1.
Feneis,
H,
Pocket atlas of human anatomy.
Georg Thieme Publishers,
Stuttgart,
1976.
2.
Williams,
PL,
Warwick,
R,
Dyson,
M,
Bannister,
LH.
Gray’s anatomy.
37th ed.
Churchill Livingstone,
Edinburgh,
London,
Melbourne and New York,
1989.
3.
Resnick,
D,
Kang,
HS,
Pretterklieber,
ML,
Internal Derangements of Joints.
2nd ed.
Philadelphia,
Saunders,
Elsevier,
2007.