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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
Race: Indian/Pakistani
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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