Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study
Xuan Wang,1,2 Lei Xu,3 Xinglu Hu,4 Hongmou Zhao,2 Jichao Yin1 1First Clinical Medical College, Shaanxi University of Chinese Medicine, Xianyang, People’s Republic of China; 2Foot and Ankle Surgery Department, Honghui Hospital of Xi’an Jiaotong University, Xi’an, People’s Republic of China; 3Function...
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Dove Medical Press
2023-10-01
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| Series: | International Journal of General Medicine |
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| Online Access: | https://www.dovepress.com/musculoskeletal-ultrasound-for-the-diagnosis-of-plantar-fasciitis-an-a-peer-reviewed-fulltext-article-IJGM |
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| author | Wang X Xu L Hu X Zhao H Yin J |
| author_facet | Wang X Xu L Hu X Zhao H Yin J |
| author_sort | Wang X |
| collection | DOAJ |
| description | Xuan Wang,1,2 Lei Xu,3 Xinglu Hu,4 Hongmou Zhao,2 Jichao Yin1 1First Clinical Medical College, Shaanxi University of Chinese Medicine, Xianyang, People’s Republic of China; 2Foot and Ankle Surgery Department, Honghui Hospital of Xi’an Jiaotong University, Xi’an, People’s Republic of China; 3Functional Department, Xi’an Hospital of Traditional Chinese Medicine, Xi’an, People’s Republic of China; 4Spine Surgery Department, Xi’an Hospital of Traditional Chinese Medicine, Xi’an, People’s Republic of ChinaCorrespondence: Jichao Yin; Hongmou Zhao, Email 444604786@qq.com; zhao_hongmou@hotmail.comObjective: To evaluate the accuracy of musculoskeletal ultrasound measurement of plantar fascia thickness and shear wave elastography (SWE) calculation of Young’s modulus in the diagnosis of plantar fasciitis (PFis), and to explore whether it will have any impact on clinical decision-making, rather than just using established diagnostic methods of clinical symptoms and signs.Methods: A diagnostic single-center study was conducted in 60 patients with PFis and 64 patients with other types of heel pain. The sensitivity and specificity of musculoskeletal ultrasound in the diagnosis of PFis were calculated according to the diagnostic criteria for PFis recommended by the Clinical Practice Guide for PFis of the American Physical Therapy Association (APTA) Orthopaedic Branch. The analysis of the receiver operating characteristic curve of the subjects was used to study the accuracy of the diagnosis of PFis by two indicators alone and two indicators jointly.Results: The thickness of plantar fascia measured by musculoskeletal ultrasound and the area under the curve (AUCs) calculated by shear wave elastography for diagnosing PFis were 0.925 and 0.917, respectively, and the optimal cutoff values were 3.15 mm (sensitivity: 100.0%, specificity: 81.3%) and 63.24 kPa (sensitivity: 78.3%, specificity: 92.2%), respectively. The area under the curve (AUCs) for the combined diagnosis of the two is 0.973 (sensitivity: 93.3%, specificity: 93.8%).Conclusion: The thickness of plantar fascia measured by musculoskeletal ultrasound and Young’s modulus calculated by SWE have high accuracy in diagnosing PFis, and the combined diagnosis of the two can improve the diagnostic accuracy of patients with PFis.Keywords: plantar fasciitis, shear wave elastography, musculoskeletal ultrasound, diagnosis, accuracy |
| first_indexed | 2024-03-11T15:36:35Z |
| format | Article |
| id | doaj.art-c750f173051a4d57af7fe5e40dfc3ebb |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-03-11T15:36:35Z |
| publishDate | 2023-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-c750f173051a4d57af7fe5e40dfc3ebb2023-10-26T17:06:53ZengDove Medical PressInternational Journal of General Medicine1178-70742023-10-01Volume 164765477187598Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield StudyWang XXu LHu XZhao HYin JXuan Wang,1,2 Lei Xu,3 Xinglu Hu,4 Hongmou Zhao,2 Jichao Yin1 1First Clinical Medical College, Shaanxi University of Chinese Medicine, Xianyang, People’s Republic of China; 2Foot and Ankle Surgery Department, Honghui Hospital of Xi’an Jiaotong University, Xi’an, People’s Republic of China; 3Functional Department, Xi’an Hospital of Traditional Chinese Medicine, Xi’an, People’s Republic of China; 4Spine Surgery Department, Xi’an Hospital of Traditional Chinese Medicine, Xi’an, People’s Republic of ChinaCorrespondence: Jichao Yin; Hongmou Zhao, Email 444604786@qq.com; zhao_hongmou@hotmail.comObjective: To evaluate the accuracy of musculoskeletal ultrasound measurement of plantar fascia thickness and shear wave elastography (SWE) calculation of Young’s modulus in the diagnosis of plantar fasciitis (PFis), and to explore whether it will have any impact on clinical decision-making, rather than just using established diagnostic methods of clinical symptoms and signs.Methods: A diagnostic single-center study was conducted in 60 patients with PFis and 64 patients with other types of heel pain. The sensitivity and specificity of musculoskeletal ultrasound in the diagnosis of PFis were calculated according to the diagnostic criteria for PFis recommended by the Clinical Practice Guide for PFis of the American Physical Therapy Association (APTA) Orthopaedic Branch. The analysis of the receiver operating characteristic curve of the subjects was used to study the accuracy of the diagnosis of PFis by two indicators alone and two indicators jointly.Results: The thickness of plantar fascia measured by musculoskeletal ultrasound and the area under the curve (AUCs) calculated by shear wave elastography for diagnosing PFis were 0.925 and 0.917, respectively, and the optimal cutoff values were 3.15 mm (sensitivity: 100.0%, specificity: 81.3%) and 63.24 kPa (sensitivity: 78.3%, specificity: 92.2%), respectively. The area under the curve (AUCs) for the combined diagnosis of the two is 0.973 (sensitivity: 93.3%, specificity: 93.8%).Conclusion: The thickness of plantar fascia measured by musculoskeletal ultrasound and Young’s modulus calculated by SWE have high accuracy in diagnosing PFis, and the combined diagnosis of the two can improve the diagnostic accuracy of patients with PFis.Keywords: plantar fasciitis, shear wave elastography, musculoskeletal ultrasound, diagnosis, accuracyhttps://www.dovepress.com/musculoskeletal-ultrasound-for-the-diagnosis-of-plantar-fasciitis-an-a-peer-reviewed-fulltext-article-IJGMplantar fasciitisshear wave elastographymusculoskeletal ultrasounddiagnosisaccuracy |
| spellingShingle | Wang X Xu L Hu X Zhao H Yin J Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study International Journal of General Medicine plantar fasciitis shear wave elastography musculoskeletal ultrasound diagnosis accuracy |
| title | Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study |
| title_full | Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study |
| title_fullStr | Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study |
| title_full_unstemmed | Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study |
| title_short | Musculoskeletal Ultrasound for the Diagnosis of Plantar Fasciitis: An Accuracy and Diagnostic Yield Study |
| title_sort | musculoskeletal ultrasound for the diagnosis of plantar fasciitis an accuracy and diagnostic yield study |
| topic | plantar fasciitis shear wave elastography musculoskeletal ultrasound diagnosis accuracy |
| url | https://www.dovepress.com/musculoskeletal-ultrasound-for-the-diagnosis-of-plantar-fasciitis-an-a-peer-reviewed-fulltext-article-IJGM |
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