Plantar fasciitis

Case contributed by Dr Maulik S Patel

Presentation

C/o pain in sole in mid foot - 2 mths. No trauma. USG for tender region.

Patient Data

Age: about 45 yrs
Gender: Female
Modality: Ultrasound

A short axis and multiple long axis images of planter fascia on symptomatic and symptomatic side shows abnormal affected fascia in mid foot - hypoechoic, thickened, perifascial fluid cleft and hypervascularity. Insertional fascia ( proximal third ) on symptomatic shows areas of Normal as well as abnormal echopatten.

Case Discussion

Findings of planter fasciitis affecting predominently in mid foot. Pathology correlates well with site of pain pointed by patient. 

Planter fasciitis commonly involves proximal third fibres - near calcenum insertion.

Two other distribution of pathology :

1 ) proximal involvement extending to mid third foot.

2 ) isolated mid third foot involvement.

There are not focal hypoechoic nodules in fascia - No planter fibroma.

 

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Case Information

rID: 27383
Diagnostic certainty: Almost Certain
System: Musculoskeletal
Inclusion in quiz mode: Included

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