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KMID : 1195520090020010001
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Journal of Korean Orthopaedic Ultrasound Society
2009 Volume.2 No. 1 p.1 ~ p.6
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The Relationship Between the Clinical Findings and Ultrasonographic Findings of Plantar Fasciitis
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Moon Jeong-Seok
Lee Woo-Chun
Bae Woo-Hwan
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Abstract
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Purpose: The goal of this study is to evaluate the relationship between the clinical findings and ultrasonographic findings of plantar fasciitis.
Materials and Methods : Forty-nine symptomatic heels of 36 patients with plantar fasciitis and 21 asymptomatic heels were included. Twenty-three patients had unilateral lesions and 13 had bilateral lesions. Of these, 16 were men and 20 were women. The average age of the patients was 48.6 years. The plantar fascia thickness was measured at its insertion of the calcaneus. Qualitative parameters such as decreased echogenity, biconvexity, partial rupture and calcification of plantar fascia, and subcalcaneal spur on plain radiographs were also noted. Comparisons of ultrasonographic parameters between symptomatic heels and asymptomatic heels as well as between unilateral and bilateral groups were done.
Results: There was no differences in the age, sex, body mass index, and duration of symptom between the unilateral and bilateral group. There were a statistically significant difference between the thickness of plantar fascia of unilateral group (mean 5.2 mm, SD1.5 mm) and that of bilateral group (mean 4.4 mm, SD 1.4 mm) (p=0.045). The hypoechogenity of plantar fascia and subcalcaneal spur did not differ between two groups. No fascial rupture or fascial calcification were identified. There was a statistically significant difference between the thickness of plantar fascia of symptomatic heels (mean 4.8 mm, SD1.5 mm) and that of asymptomatic heels (mean 3.1 mm, SD 0.5 mm) (p=0.000). The thickness of plantar fasia was negatively correlated with duration of symptoms (p=0.046).
Conclusion: The thickness of plantar fascia in plantar fasciitis seems to be negatively correlated with the duration of symptoms, and the thickness of symptomatic heels and unilateral group was significantly thicker than that of asymptomatic heels and bilateral group, respectively
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KEYWORD
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Heels, Plantar fasciitis, Ultrasonography
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