Nodular plantar fasciitis

Case contributed by Dr Salem Bauones

Presentation

Chronic right heel pain.

Patient Data

Age: 50
Gender: Female
Modality: Ultrasound

US images of right plantar fascia demonstrate an oval shaped relatively hypoechoic, nonvascularised nodule (increased thickness), developed in the fascial planes of the proximal plantar aponeurosis. No tear associated.

Case Discussion

Plantar fasciitis is the most common cause of plantar heel pain. It can arise either from the stress of repetitive trauma (more common) or as an enthesopathy in association with seronegative spondyloarthropathies.

US characteristics of plantar fasciitis include:

 

  • focal (common) or diffuse increased thickening of plantar fascia
  • hypoechoic lesion
  • perifascial oedema
  • increased vascular flow on colour Doppler
  • it might be associated with intrasubstance fissure
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Case Information

rID: 24755
Case created: 10th Sep 2013
Last edited: 5th Oct 2015
Inclusion in quiz mode: Included

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