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Plantar fasciitis

Case contributed by Angel Romero Domínguez
Diagnosis almost certain

Presentation

Chronic left heel pain.

Patient Data

Age: 55 years
Gender: Male

Left heel

ultrasound

Hypoechoic thickening of the calcaneal insertion of the plantar fascia (central band). It measures up to 6mm. Its fibrillarly pattern is altered. 

Comparison to the right plantar fascia.

Right heel

ultrasound

The plantar fascia is of normal morphology. Its thickness and echogenicity are normal. Its characteristic fibrillar pattern is observed.

Case Discussion

The findings correspond to left plantar fasciitis. This patient had obesity and long-standing diabetes mellitus as predisposing factors 1.

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