High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound

Objective: To assess the role played by ultrasound in evaluating plantar fasciitis and associate the findings with Magnetic resonance imaging. Study Design: Case series. Place and Duration of Study: Department of Radiology, Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Nov...

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Main Authors: Amir Khan, Aliya Ahmed, Ibtesam Zafar, Muzammil Rasheed Bhutta, Muhammad Nasir Naeem Khan, Umar Ajaz
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-06-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/7600
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author Amir Khan
Aliya Ahmed
Ibtesam Zafar
Muzammil Rasheed Bhutta
Muhammad Nasir Naeem Khan
Umar Ajaz
author_facet Amir Khan
Aliya Ahmed
Ibtesam Zafar
Muzammil Rasheed Bhutta
Muhammad Nasir Naeem Khan
Umar Ajaz
author_sort Amir Khan
collection DOAJ
description Objective: To assess the role played by ultrasound in evaluating plantar fasciitis and associate the findings with Magnetic resonance imaging. Study Design: Case series. Place and Duration of Study: Department of Radiology, Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Nov 2020 to Apr 2021. Methodology: All the patients underwent ultrasonography and magnetic resonance imaging scanning. The study and control Groups consisted of 38 patients. Results: Out of 38 patients, plantar fascia thickness in symptomatic feet was measured with ultrasound for both the Study and Control Groups. The Control Group had slightly thinner plantar fasciitis (1.1-2.4 mm, 1.7 ± 0.06 mm; p =0.03) compared to the Study Group (2.9-6.9 mm; 4.9±1.4 mm). In addition, this study compared other plantar fasciitis diagnostic signs on sonography with the magnetic resonance imaging findings. The diagnostic accuracy of plantar fascia pathological focal echogenicity, plantar fascia oedema, perifascial oedema, and plantar fascia rupture was 15(80.6%), 12(60.7%), 15(77.1%), and 13(68.6%) respectively. The diagnostic accuracy of ultrasonography was lower while evaluating for calcaneal spurs. Conclusion: The present study concluded that ultrasonography could be the basic initial diagnostic imaging modality to confirm clinically suspected cases of plantar fasciitis. However, magnetic resonance imaging could be the preferred diagnostic modality for suspected complex pathology and lack of clinical presentation.
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spelling doaj.art-ac00cf6341884989a84fff846cf63c932023-09-08T06:02:40ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-06-0173310.51253/pafmj.v73i3.7600High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and UltrasoundAmir Khan0Aliya Ahmed1Ibtesam Zafar2Muzammil Rasheed Bhutta3Muhammad Nasir Naeem Khan4Umar Ajaz5Department of Radiology, Pakistan Institute of Medical Sciences, Islamabad PakistanDepartment of Radiology, Pakistan Institute of Medical Sciences, Islamabad PakistanDepartment of Radiology, Pakistan Institute of Medical Sciences, Islamabad PakistanDepartment of Radiology, Pakistan Institute of Medical Sciences, Islamabad PakistanDepartment of Radiology, Pakistan Institute of Medical Sciences, Islamabad PakistanDepartment of Radiology, Pakistan Institute of Medical Sciences, Islamabad Pakistan Objective: To assess the role played by ultrasound in evaluating plantar fasciitis and associate the findings with Magnetic resonance imaging. Study Design: Case series. Place and Duration of Study: Department of Radiology, Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Nov 2020 to Apr 2021. Methodology: All the patients underwent ultrasonography and magnetic resonance imaging scanning. The study and control Groups consisted of 38 patients. Results: Out of 38 patients, plantar fascia thickness in symptomatic feet was measured with ultrasound for both the Study and Control Groups. The Control Group had slightly thinner plantar fasciitis (1.1-2.4 mm, 1.7 ± 0.06 mm; p =0.03) compared to the Study Group (2.9-6.9 mm; 4.9±1.4 mm). In addition, this study compared other plantar fasciitis diagnostic signs on sonography with the magnetic resonance imaging findings. The diagnostic accuracy of plantar fascia pathological focal echogenicity, plantar fascia oedema, perifascial oedema, and plantar fascia rupture was 15(80.6%), 12(60.7%), 15(77.1%), and 13(68.6%) respectively. The diagnostic accuracy of ultrasonography was lower while evaluating for calcaneal spurs. Conclusion: The present study concluded that ultrasonography could be the basic initial diagnostic imaging modality to confirm clinically suspected cases of plantar fasciitis. However, magnetic resonance imaging could be the preferred diagnostic modality for suspected complex pathology and lack of clinical presentation. https://www.pafmj.org/index.php/PAFMJ/article/view/7600Magnetic Resonance ImagingPlantar FasciitisUltrasound
spellingShingle Amir Khan
Aliya Ahmed
Ibtesam Zafar
Muzammil Rasheed Bhutta
Muhammad Nasir Naeem Khan
Umar Ajaz
High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
Pakistan Armed Forces Medical Journal
Magnetic Resonance Imaging
Plantar Fasciitis
Ultrasound
title High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
title_full High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
title_fullStr High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
title_full_unstemmed High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
title_short High-resolution Ultrasonographic Diagnosis of Plantar Fasciitis: An Association of Magnetic Resonance Imaging and Ultrasound
title_sort high resolution ultrasonographic diagnosis of plantar fasciitis an association of magnetic resonance imaging and ultrasound
topic Magnetic Resonance Imaging
Plantar Fasciitis
Ultrasound
url https://www.pafmj.org/index.php/PAFMJ/article/view/7600
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